Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $478.63	Facility		$269.15	$398.11	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $416.87	Professional		$239.88	$288.40	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $537.03	Professional		$346.74	$478.63	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $1,096.48	Facility		$512.86	$537.03	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $645.65	Professional		$245.47	$309.03	$645.65
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $741.31	Facility		$309.03	$457.09	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $831.76	Professional		$398.11	$549.54	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $831.76	Facility		$316.23	$316.23	$831.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $316.23	Professional		$234.42	$234.42	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $562.34	Professional		$281.84	$389.05	$562.34
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $1,047.13	Professional		$512.86	$575.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $575.44	Facility		$208.93	$281.84	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $251.19 / $380.19	Professional		$165.96	$251.19	$380.19