Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.33 / $365.33 / $818.00	Facility		$365.33	$365.33	$818.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.98 / $365.33 / $388.44	Professional		$246.98	$365.33	$388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $510.14 / $510.14	Professional		$510.14	$510.14	$510.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.69 / $748.20 / $1,938.51	Facility		$638.69	$748.20	$1,938.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.73 / $331.81 / $884.23	Professional		$298.73	$331.81	$884.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $578.15 / $578.15 / $612.16	Professional		$578.15	$578.15	$612.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.91 / $680.18 / $918.24	Facility		$435.91	$680.18	$918.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.12 / $612.16 / $1,456.40	Professional		$442.12	$612.16	$1,456.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $655.04	Facility		$361.45	$361.45	$655.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $461.75	Professional		$263.86	$263.86	$461.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $361.45	Professional		$263.86	$361.45	$361.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.54 / $396.74 / $520.13	Professional		$288.54	$396.74	$520.13
United Facility/Professional Professional Modifier Low / Median / High Price $191.50 / $306.70 / $431.75	Professional		$191.50	$306.70	$431.75