Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.74 / $136.00 / $379.93	Facility		$112.74	$136.00	$379.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $112.74 / $129.21	Professional		$98.70	$112.74	$129.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.07 / $118.07 / $157.43	Professional		$118.07	$118.07	$157.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $230.90 / $598.24	Facility		$197.11	$230.90	$598.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $114.05 / $275.82	Professional		$82.66	$114.05	$275.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $178.42 / $178.42 / $178.42	Professional		$178.42	$178.42	$178.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.43 / $209.91 / $283.38	Facility		$157.43	$209.91	$283.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $189.96 / $449.46	Professional		$137.19	$189.96	$449.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $247.34	Facility		$140.54	$140.54	$247.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $174.54	Professional		$102.59	$102.59	$174.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $140.54 / $140.54	Professional		$102.59	$140.54	$140.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $105.72 / $138.60	Professional		$76.88	$105.72	$138.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $100.10 / $140.97	Professional		$68.16	$100.10	$140.97