Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.11 / $286.11 / $747.00	Facility		$286.11	$286.11	$747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.11 / $286.11 / $492.54	Professional		$286.11	$286.11	$492.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $439.46 / $439.46	Professional		$439.46	$439.46	$439.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.20 / $644.53 / $1,669.93	Facility		$550.20	$644.53	$1,669.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $343.00 / $772.56	Professional		$285.83	$343.00	$772.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $498.05 / $498.05	Professional		$498.05	$498.05	$498.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.46 / $585.94 / $791.02	Facility		$439.46	$585.94	$791.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.86 / $585.94 / $1,254.60	Professional		$380.86	$585.94	$1,254.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $768.84	Facility		$379.03	$379.03	$768.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $487.20	Professional		$276.69	$276.69	$487.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $379.03 / $379.03	Professional		$276.69	$379.03	$379.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.56 / $341.77 / $448.06	Professional		$248.56	$341.77	$448.06
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $292.32 / $450.45	Professional		$194.88	$292.32	$450.45