Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.08 / $353.56 / $415.95	Facility		$283.08	$353.56	$415.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $320.82 / $415.95	Professional		$261.54	$320.82	$415.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $340.21 / $340.21 / $360.00	Professional		$340.21	$340.21	$360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.19 / $391.47 / $586.28	Professional		$291.19	$391.47	$586.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $400.24 / $400.24 / $400.24	Professional		$400.24	$400.24	$400.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $437.15 / $546.44	Facility		$364.29	$437.15	$546.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.24 / $520.30 / $659.17	Professional		$400.24	$520.30	$659.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $517.19 / $517.19	Facility		$517.19	$517.19	$517.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $368.15 / $492.06 / $676.59	Professional		$368.15	$492.06	$676.59
Optum Facility/Professional Professional Modifier Low / Median / High Price $368.47 / $368.47 / $572.34	Professional		$368.47	$368.47	$572.34
United Facility/Professional Professional Modifier Low / Median / High Price $301.11 / $424.99 / $735.64	Professional		$301.11	$424.99	$735.64