Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.88 / $264.98 / $845.53	Facility		$264.88	$264.98	$845.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $323.79 / $502.66	Professional		$264.98	$323.79	$502.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.47 / $514.35 / $824.00	Professional		$494.47	$514.35	$824.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.96 / $545.85 / $1,414.26	Facility		$465.96	$545.85	$1,414.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $453.88 / $820.26	Professional		$389.73	$453.88	$820.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $582.92 / $582.92 / $582.92	Professional		$582.92	$582.92	$582.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.43 / $545.85 / $737.03	Facility		$460.43	$545.85	$737.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.17 / $620.29 / $893.77	Professional		$372.17	$620.29	$893.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $489.93	Professional		$339.94	$339.94	$489.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $465.67 / $489.93	Professional		$339.94	$465.67	$489.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $489.50 / $641.73	Professional		$356.00	$489.50	$641.73
United Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $389.73 / $541.94	Professional		$241.24	$389.73	$541.94