Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $587.58 / $2,497.05	Facility		$197.18	$587.58	$2,497.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.44 / $178.21 / $1,491.57	Professional		$176.44	$178.21	$1,491.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $284.08 / $441.13	Facility		$190.57	$284.08	$441.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $201.15 / $302.10	Professional		$176.45	$201.15	$302.10
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $418.19 / $418.19 / $418.19	Facility		$418.19	$418.19	$418.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $176.45 / $247.03	Facility		$155.41	$176.45	$247.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $282.32	Professional		$155.41	$176.45	$282.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $260.33	Facility		$166.46	$176.45	$260.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $256.27	Professional		$176.45	$176.45	$256.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $180.79 / $514.45	Facility		$166.46	$180.79	$514.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $345.90	Professional		$176.45	$176.45	$345.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $194.09 / $229.38	Professional		$170.96	$194.09	$229.38
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $222.33	Professional		$176.45	$176.45	$222.33