Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.34 / $235.34 / $588.00	Facility		$235.34	$235.34	$588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.86 / $235.34 / $317.83	Professional		$218.86	$235.34	$317.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $361.48 / $361.48	Professional		$361.48	$361.48	$361.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.57 / $530.16 / $1,373.61	Facility		$452.57	$530.16	$1,373.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.12 / $262.13 / $626.55	Professional		$235.12	$262.13	$626.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $409.67 / $409.67 / $409.67	Professional		$409.67	$409.67	$409.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.48 / $481.97 / $650.66	Facility		$361.48	$481.97	$650.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.27 / $433.77 / $1,031.99	Professional		$313.27	$433.77	$1,031.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $567.71	Facility		$311.77	$311.77	$567.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $227.60 / $398.30	Professional		$227.60	$227.60	$398.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $311.77 / $311.77	Professional		$227.60	$311.77	$311.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $260.56 / $358.28 / $469.70	Professional		$260.56	$358.28	$469.70
United Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $240.44 / $335.46	Professional		$160.30	$240.44	$335.46