Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.29 / $181.29 / $391.00	Facility		$181.29	$181.29	$391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.54 / $181.29 / $221.24	Professional		$136.54	$181.29	$221.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Professional		$293.31	$293.31	$293.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $348.63 / $408.41 / $1,058.15	Facility		$348.63	$408.41	$1,058.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $181.00 / $482.66	Professional		$167.25	$181.00	$482.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $315.58 / $315.58	Professional		$315.58	$315.58	$315.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.69 / $371.28 / $501.23	Facility		$236.69	$371.28	$501.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.33 / $334.15 / $794.98	Professional		$241.33	$334.15	$794.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $374.38	Facility		$177.64	$177.64	$374.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $226.94	Professional		$129.68	$129.68	$226.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.64 / $177.64 / $177.64	Facility		$177.64	$177.64	$177.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $177.64 / $177.64	Professional		$129.68	$177.64	$177.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $216.56 / $283.92	Professional		$157.50	$216.56	$283.92
United Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $185.23 / $235.68	Professional		$115.77	$185.23	$235.68