Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.97 / $293.97 / $768.00	Facility		$293.97	$293.97	$768.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.52 / $293.97 / $504.28	Professional		$286.52	$293.97	$504.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $475.62 / $475.62 / $475.62	Professional		$475.62	$475.62	$475.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.32 / $662.26 / $1,715.84	Facility		$565.32	$662.26	$1,715.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.79 / $352.54 / $794.70	Professional		$293.79	$352.54	$794.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $511.74 / $511.74 / $511.74	Professional		$511.74	$511.74	$511.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $451.54 / $602.04 / $812.77	Facility		$451.54	$602.04	$812.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.33 / $602.04 / $1,289.10	Professional		$391.33	$602.04	$1,289.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $786.63	Facility		$382.03	$382.03	$786.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $488.04	Professional		$278.88	$278.88	$488.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $382.03 / $382.03	Professional		$278.88	$382.03	$382.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $255.40 / $351.17 / $460.39	Professional		$255.40	$351.17	$460.39
United Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $300.36 / $462.84	Professional		$200.24	$300.36	$462.84