Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.50 / $197.50 / $197.50	Facility		$197.50	$197.50	$197.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.22 / $197.50 / $354.24	Professional		$193.22	$197.50	$354.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.01 / $352.01 / $352.01	Professional		$352.01	$352.01	$352.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.47 / $462.34 / $739.74	Facility		$335.47	$462.34	$739.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $317.14 / $538.36	Professional		$292.14	$317.14	$538.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $461.25 / $461.25 / $521.30	Professional		$461.25	$461.25	$521.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $277.39 / $508.26	Facility		$34.77	$277.39	$508.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $258.36 / $528.33	Professional		$33.29	$258.36	$528.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $524.96	Facility		$243.42	$243.42	$524.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $431.25	Professional		$206.91	$243.42	$431.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $345.92	Facility		$243.42	$243.42	$345.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $319.49	Professional		$206.91	$243.42	$319.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.17 / $372.72 / $537.49	Professional		$298.17	$372.72	$537.49
United Facility/Professional Professional Modifier Low / Median / High Price $133.76 / $220.31 / $313.41	Professional		$133.76	$220.31	$313.41