Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.51 / $255.51 / $682.00	Facility		$255.51	$255.51	$682.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.04 / $255.51 / $353.63	Professional		$249.04	$255.51	$353.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.46 / $392.46 / $392.46	Professional		$392.46	$392.46	$392.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $491.36 / $575.61 / $1,491.35	Facility		$491.36	$575.61	$1,491.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.28 / $306.33 / $689.95	Professional		$255.28	$306.33	$689.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $444.79 / $444.79	Professional		$444.79	$444.79	$444.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.46 / $523.28 / $706.43	Facility		$392.46	$523.28	$706.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.13 / $523.28 / $1,120.45	Professional		$340.13	$523.28	$1,120.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $657.88	Facility		$338.50	$338.50	$657.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $247.11 / $432.43	Professional		$247.11	$247.11	$432.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $338.50	Professional		$247.11	$338.50	$338.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.98 / $305.22 / $400.15	Professional		$221.98	$305.22	$400.15
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $261.06 / $402.28	Professional		$174.04	$261.06	$402.28