Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.73 / $294.55 / $992.63	Facility		$113.73	$294.55	$992.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.76 / $294.55 / $438.87	Professional		$257.76	$294.55	$438.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $411.29 / $822.59	Professional		$411.29	$411.29	$822.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.94 / $603.23 / $1,562.91	Facility		$514.94	$603.23	$1,562.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.51 / $394.61 / $833.10	Professional		$301.51	$394.61	$833.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $466.13 / $466.13 / $466.13	Professional		$466.13	$466.13	$466.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.29 / $548.39 / $740.33	Facility		$411.29	$548.39	$740.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $496.19 / $1,174.21	Professional		$358.36	$496.19	$1,174.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $646.08	Facility		$375.73	$375.73	$646.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $455.98	Professional		$274.27	$274.27	$455.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $375.73 / $383.66	Professional		$274.27	$375.73	$383.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $401.50 / $526.36	Professional		$292.00	$401.50	$526.36
United Facility/Professional Professional Modifier Low / Median / High Price $177.57 / $265.05 / $394.61	Professional		$177.57	$265.05	$394.61