Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $338.84 / $588.84	Facility		$309.03	$338.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $331.13 / $575.44	Professional		$288.40	$331.13	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $645.65	Professional		$302.00	$316.23	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $602.56	Professional		$275.42	$371.54	$602.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $302.00 / $354.81	Facility		$295.12	$302.00	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $707.95	Professional		$295.12	$426.58	$707.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $691.83	Professional		$288.40	$426.58	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $758.58	Professional		$281.84	$363.08	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $645.65	Professional		$275.42	$380.19	$645.65