Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.33 / $158.33 / $541.00	Facility		$158.33	$158.33	$541.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $158.33 / $247.80	Professional		$141.97	$158.33	$247.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $175.64 / $175.64	Professional		$175.64	$175.64	$175.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.80 / $324.26 / $840.12	Facility		$276.80	$324.26	$840.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $172.57 / $389.10	Professional		$143.81	$172.57	$389.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $250.56 / $265.30	Professional		$250.56	$250.56	$265.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $294.77 / $397.95	Facility		$221.09	$294.77	$397.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.61 / $294.77 / $631.17	Professional		$191.61	$294.77	$631.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $378.24	Facility		$190.69	$190.69	$378.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $243.61	Professional		$139.19	$139.19	$243.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $190.69	Professional		$139.19	$190.69	$190.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $171.95 / $225.42	Professional		$125.05	$171.95	$225.42
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $147.07 / $213.71	Professional		$98.04	$147.07	$213.71