Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.22 / $300.07 / $952.73	Facility		$180.22	$300.07	$952.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.04 / $180.22 / $219.79	Professional		$149.04	$180.22	$219.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $234.87 / $251.65	Professional		$199.91	$234.87	$251.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.06 / $369.08 / $956.26	Facility		$315.06	$369.08	$956.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.68 / $183.32 / $442.89	Professional		$163.68	$183.32	$442.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $285.20 / $285.20	Professional		$285.20	$285.20	$285.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.11 / $335.53 / $452.97	Facility		$232.11	$335.53	$452.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.09 / $301.98 / $718.44	Professional		$218.09	$301.98	$718.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $396.11	Facility		$216.42	$216.42	$396.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $244.45	Professional		$157.99	$157.99	$244.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $216.42 / $244.45	Professional		$157.99	$216.42	$244.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $195.71 / $256.57	Professional		$142.33	$195.71	$256.57
United Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $153.02 / $268.42	Facility		$98.34	$153.02	$268.42
United Facility/Professional Professional Modifier Low / Median / High Price $111.60 / $157.91 / $232.34	Professional		$111.60	$157.91	$232.34