Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.74 / $225.74 / $495.00	Facility		$225.74	$225.74	$495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $225.74 / $278.91	Professional		$173.37	$225.74	$278.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.45 / $346.73 / $365.22	Professional		$275.45	$346.73	$365.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.11 / $508.54 / $1,317.58	Facility		$434.11	$508.54	$1,317.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.25 / $225.53 / $601.00	Professional		$208.25	$225.53	$601.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $392.96 / $392.96	Professional		$392.96	$392.96	$392.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $462.31 / $624.12	Facility		$300.50	$462.31	$624.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.50 / $416.08 / $989.90	Professional		$300.50	$416.08	$989.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $479.44	Facility		$232.98	$232.98	$479.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $297.63	Professional		$170.08	$170.08	$297.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $232.98	Professional		$170.08	$232.98	$232.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $269.67 / $353.54	Professional		$196.12	$269.67	$353.54
United Facility/Professional Professional Modifier Low / Median / High Price $153.76 / $230.64 / $293.45	Professional		$153.76	$230.64	$293.45