Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $562.34	Facility		$316.23	$478.63	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $478.63	Professional		$251.19	$316.23	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $602.56	Professional		$338.84	$446.68	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $1,288.25	Facility		$602.56	$630.96	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $758.58	Professional		$288.40	$363.08	$758.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $724.44	Facility		$302.00	$446.68	$724.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $812.83	Professional		$389.05	$537.03	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $812.83	Facility		$371.54	$371.54	$812.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Professional		$269.15	$269.15	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $660.69	Professional		$323.59	$457.09	$660.69
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $1,230.27	Professional		$602.56	$676.08	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $645.65	Facility		$229.09	$309.03	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $426.58	Professional		$194.98	$275.42	$426.58