Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $310.52 / $790.41	Professional		$263.08	$310.52	$790.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $269.50 / $380.47	Professional		$269.50	$269.50	$380.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.93 / $374.72 / $578.35	Professional		$280.93	$374.72	$578.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $364.62 / $364.62 / $412.18	Professional		$364.62	$364.62	$412.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $321.02 / $470.92	Facility		$273.45	$321.02	$470.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.77 / $373.53 / $443.88	Professional		$348.77	$373.53	$443.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $1,200.00	Facility		$386.44	$386.44	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.49 / $409.56 / $671.86	Professional		$307.49	$409.56	$671.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $1,200.00	Facility		$386.44	$386.44	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $317.11 / $421.60 / $685.00	Professional		$317.11	$421.60	$685.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.40 / $372.08 / $519.62	Professional		$270.40	$372.08	$519.62
United Facility/Professional Professional Modifier Low / Median / High Price $274.73 / $379.22 / $599.04	Professional		$274.73	$379.22	$599.04