Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.76 / $178.32 / $432.70	Facility		$71.76	$178.32	$432.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $128.40 / $336.58	Professional		$118.32	$128.40	$336.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $179.29	Professional		$134.47	$134.47	$179.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.47 / $262.95 / $681.29	Facility		$224.47	$262.95	$681.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $122.03 / $326.54	Professional		$107.74	$122.03	$326.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $203.19 / $203.19	Professional		$203.19	$203.19	$203.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $262.95 / $355.05	Facility		$204.29	$262.95	$355.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $288.41 / $406.39	Professional		$179.29	$288.41	$406.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $281.64	Facility		$152.55	$152.55	$281.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $153.72	Professional		$111.36	$111.36	$153.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $152.55 / $153.72	Facility		$80.51	$152.55	$153.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $153.72	Professional		$111.36	$152.55	$153.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $112.77 / $147.84	Professional		$82.01	$112.77	$147.84
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $115.41 / $173.24	Professional		$79.50	$115.41	$173.24