Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $380.19	Facility		$199.53	$223.87	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $398.11	Professional		$186.21	$213.80	$398.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $338.84	Professional		$208.93	$213.80	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $389.05	Professional		$177.83	$245.47	$389.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $229.09	Facility		$190.55	$194.98	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $457.09	Professional		$190.55	$275.42	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $446.68	Professional		$181.97	$275.42	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $489.78	Professional		$181.97	$234.42	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $416.87	Professional		$177.83	$245.47	$416.87