Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $645.65	Facility		$363.08	$524.81	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $524.81	Professional		$269.15	$354.81	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $676.08	Professional		$512.86	$512.86	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $724.44 / $1,479.11	Facility		$691.83	$724.44	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $870.96	Professional		$331.13	$407.38	$870.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $616.60	Professional		$575.44	$616.60	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $812.83	Facility		$338.84	$512.86	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $912.01	Professional		$446.68	$616.60	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $933.25	Facility		$416.87	$416.87	$933.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $426.58	Professional		$309.03	$309.03	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $416.87 / $602.56	Professional		$302.00	$416.87	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $776.25 / $1,412.54	Professional		$691.83	$776.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $707.95	Facility		$234.42	$323.59	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $457.09	Professional		$223.87	$323.59	$457.09