Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.52 / $132.54 / $278.95	Facility		$98.52	$132.54	$278.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $179.09 / $295.35	Professional		$154.38	$179.09	$295.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.86 / $233.96 / $410.98	Professional		$185.86	$233.96	$410.98
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 $146.49 / $190.43 / $427.16	Professional		$146.49	$190.43	$427.16
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 $214.16 / $214.16 / $398.31	Facility		$214.16	$214.16	$398.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $273.58	Professional		$156.34	$156.34	$273.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $214.16 / $291.73	Facility		$96.12	$214.16	$291.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $291.73	Professional		$156.34	$214.16	$291.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $165.00 / $216.31	Professional		$120.00	$165.00	$216.31
United Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $155.62 / $249.55	Facility		$109.87	$155.62	$249.55
United Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $155.62 / $244.15	Professional		$103.75	$155.62	$244.15