Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.24 / $233.24 / $560.00	Facility		$233.24	$233.24	$560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.42 / $233.24 / $316.39	Professional		$207.42	$233.24	$316.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $358.26 / $358.26 / $377.37	Professional		$358.26	$358.26	$377.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.54 / $525.45 / $1,361.39	Facility		$448.54	$525.45	$1,361.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $259.74 / $620.98	Professional		$233.00	$259.74	$620.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $406.03 / $406.03	Professional		$406.03	$406.03	$406.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.50 / $477.68 / $644.87	Facility		$341.50	$477.68	$644.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $429.91 / $1,022.81	Professional		$310.49	$429.91	$1,022.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $557.89	Facility		$293.77	$293.77	$557.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $375.29	Professional		$214.45	$214.45	$375.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $293.77	Professional		$214.45	$293.77	$293.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $355.09 / $465.52	Professional		$258.24	$355.09	$465.52
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $479.40 / $564.00	Facility		$479.40	$479.40	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $238.31 / $325.19	Professional		$158.87	$238.31	$325.19