Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $273.52 / $273.52	Facility		$273.52	$273.52	$273.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.22 / $273.52 / $488.63	Professional		$268.22	$273.52	$488.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $451.97 / $451.97	Professional		$451.97	$451.97	$451.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.58 / $640.28 / $1,024.44	Facility		$464.58	$640.28	$1,024.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $407.19 / $691.24	Professional		$398.43	$407.19	$691.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $608.04 / $669.33	Professional		$608.04	$608.04	$669.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $384.17 / $665.89	Facility		$50.20	$384.17	$665.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $384.17 / $702.80	Professional		$43.54	$384.17	$702.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $674.02	Facility		$333.25	$333.25	$674.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $581.63	Professional		$283.26	$333.25	$581.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $440.85	Facility		$333.25	$333.25	$440.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $333.25 / $437.39	Professional		$333.25	$333.25	$437.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $478.56 / $690.13	Professional		$382.84	$478.56	$690.13
United Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $277.63 / $407.19	Professional		$180.86	$277.63	$407.19