Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.16 / $227.85 / $767.85	Facility		$106.16	$227.85	$767.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $227.85 / $386.10	Professional		$170.01	$227.85	$386.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.16 / $318.16 / $318.16	Professional		$318.16	$318.16	$318.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.33 / $466.63 / $1,209.00	Facility		$398.33	$466.63	$1,209.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $206.94 / $551.47	Professional		$199.58	$206.94	$551.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $360.58 / $360.58 / $360.58	Professional		$360.58	$360.58	$360.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.74 / $424.21 / $572.67	Facility		$275.74	$424.21	$572.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.74 / $381.79 / $908.32	Professional		$275.74	$381.79	$908.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $471.93	Facility		$229.50	$229.50	$471.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $243.27	Professional		$167.54	$167.54	$243.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $229.50 / $229.50	Professional		$167.54	$229.50	$229.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $179.95 / $247.43 / $324.38	Professional		$179.95	$247.43	$324.38
United Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $192.09 / $269.27	Professional		$127.94	$192.09	$269.27