Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $478.63	Facility		$245.47	$269.15	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $489.78	Professional		$229.09	$263.03	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $323.59	Professional		$213.80	$257.04	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $489.78	Professional		$218.78	$302.00	$489.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $281.84	Facility		$234.42	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $426.58	Facility		$407.38	$416.87	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $346.74 / $575.44	Professional		$234.42	$346.74	$575.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $588.84	Professional		$223.87	$288.40	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $512.86	Professional		$218.78	$302.00	$512.86