Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.94 / $140.94 / $698.00	Facility		$140.94	$140.94	$698.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $169.12 / $277.13	Professional		$140.94	$169.12	$277.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.08 / $302.31 / $438.00	Professional		$272.08	$302.31	$438.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $247.85 / $290.35 / $752.26	Facility		$247.85	$290.35	$752.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $281.49 / $464.07	Professional		$232.56	$281.49	$464.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $342.62 / $342.62 / $342.62	Professional		$342.62	$342.62	$342.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $264.30 / $369.53	Facility		$197.96	$264.30	$369.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $263.95 / $565.16	Professional		$184.77	$263.95	$565.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $362.26	Facility		$301.51	$301.51	$362.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $314.97	Professional		$220.10	$220.10	$314.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $301.51	Professional		$220.10	$301.51	$301.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $396.00 / $519.15	Professional		$288.00	$396.00	$519.15
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $232.56 / $342.62	Professional		$155.86	$232.56	$342.62