Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.25 / $196.25 / $196.25	Facility		$196.25	$196.25	$196.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $197.98 / $362.97	Professional		$196.25	$197.98	$362.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.14 / $340.14 / $340.14	Professional		$340.14	$340.14	$340.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.33 / $459.39 / $735.02	Facility		$333.33	$459.39	$735.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.24 / $359.16 / $609.71	Professional		$305.24	$359.16	$609.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $453.52 / $490.41 / $508.84	Professional		$453.52	$490.41	$508.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $283.73 / $508.84	Facility		$36.75	$283.73	$508.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $275.63 / $590.20	Professional		$33.07	$275.63	$590.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $512.41	Facility		$243.78	$243.78	$512.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $430.88	Professional		$207.21	$243.78	$430.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $327.93	Facility		$243.78	$243.78	$327.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $243.78 / $319.95	Professional		$243.78	$243.78	$319.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $422.11 / $608.72	Professional		$337.68	$422.11	$608.72
United Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $221.60 / $338.03	Professional		$132.15	$221.60	$338.03