Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.68 / $217.45 / $359.25	Facility		$197.68	$217.45	$359.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $202.24 / $322.11	Professional		$180.25	$202.24	$322.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.31 / $239.28 / $267.99	Professional		$181.31	$239.28	$267.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $229.55 / $358.52	Professional		$170.12	$229.55	$358.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $248.85 / $248.85	Professional		$248.85	$248.85	$248.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.42 / $217.24 / $284.31	Facility		$191.42	$217.24	$284.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $214.46 / $214.46 / $272.94	Professional		$214.46	$214.46	$272.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.42 / $278.87 / $535.98	Professional		$191.42	$278.87	$535.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $187.13 / $274.67 / $400.69	Professional		$187.13	$274.67	$400.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $212.92 / $297.60	Professional		$164.52	$212.92	$297.60
United Facility/Professional Professional Modifier Low / Median / High Price $185.28 / $271.77 / $451.03	Professional		$185.28	$271.77	$451.03