Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.60 / $237.60 / $836.00	Facility		$237.60	$237.60	$836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $237.60 / $333.31	Professional		$218.95	$237.60	$333.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.47 / $349.47 / $349.47	Professional		$349.47	$349.47	$349.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $415.39 / $486.61 / $1,260.75	Facility		$415.39	$486.61	$1,260.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.80 / $248.17 / $589.82	Professional		$215.80	$248.17	$589.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $376.01 / $376.01 / $376.01	Professional		$376.01	$376.01	$376.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.78 / $442.37 / $606.53	Facility		$331.78	$442.37	$606.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $442.37 / $947.20	Professional		$287.54	$442.37	$947.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $574.24	Facility		$345.03	$345.03	$574.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $367.82	Professional		$251.87	$251.87	$367.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $345.03 / $345.03	Professional		$251.87	$345.03	$345.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $328.84 / $431.11	Professional		$239.16	$328.84	$431.11
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $220.69 / $320.58	Professional		$147.13	$220.69	$320.58