Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.13 / $202.13 / $202.13	Facility		$202.13	$202.13	$202.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $235.68 / $365.93	Professional		$199.60	$235.68	$365.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.63 / $291.63 / $291.63	Professional		$291.63	$291.63	$291.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.33 / $473.16 / $757.06	Facility		$343.33	$473.16	$757.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $242.09 / $608.55	Professional		$208.61	$242.09	$608.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $388.84 / $399.17 / $417.78	Professional		$388.84	$399.17	$417.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.95 / $283.89 / $399.17	Facility		$33.95	$283.89	$399.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $255.51 / $493.05	Professional		$29.96	$255.51	$493.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $441.00	Facility		$263.45	$263.45	$441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $548.44	Professional		$223.93	$223.93	$548.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $263.45 / $297.51	Professional		$223.93	$263.45	$297.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $331.12 / $477.50	Professional		$264.89	$331.12	$477.50
United Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $188.58 / $295.54	Professional		$125.72	$188.58	$295.54