Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $194.98 / $776.25	Facility		$70.79	$194.98	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $380.19	Professional		$186.21	$229.09	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $323.59	Professional		$194.98	$194.98	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $467.74 / $933.25	Facility		$436.52	$467.74	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $575.44	Professional		$208.93	$251.19	$575.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $501.19	Facility		$208.93	$316.23	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $562.34	Professional		$275.42	$380.19	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $602.56	Facility		$194.98	$263.03	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $380.19	Professional		$186.21	$263.03	$380.19
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $912.01	Professional		$436.52	$501.19	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $478.63	Facility		$169.82	$223.87	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $309.03	Professional		$144.54	$204.17	$309.03