Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $278.95 / $491.76	Facility		$74.47	$278.95	$491.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $179.00 / $284.83	Professional		$154.38	$179.00	$284.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.47 / $233.96 / $276.07	Professional		$175.47	$233.96	$276.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.91 / $343.13 / $889.03	Facility		$292.91	$343.13	$889.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $174.99 / $415.92	Professional		$152.16	$174.99	$415.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $265.14 / $265.14	Professional		$265.14	$265.14	$265.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.72 / $343.13 / $463.31	Facility		$281.72	$343.13	$463.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $389.93 / $546.86	Professional		$233.96	$389.93	$546.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $398.31	Facility		$184.69	$194.92	$398.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $194.92 / $194.92	Facility		$96.53	$194.92	$194.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $194.92 / $194.92	Professional		$142.29	$194.92	$194.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $181.95 / $238.53	Professional		$132.32	$181.95	$238.53
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $226.15	Professional		$103.75	$155.62	$226.15