Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.66 / $180.66 / $458.00	Facility		$180.66	$180.66	$458.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $180.66 / $248.81	Professional		$176.08	$180.66	$248.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $292.29 / $292.29	Professional		$292.29	$292.29	$292.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.42 / $406.99 / $1,054.47	Facility		$347.42	$406.99	$1,054.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $206.65 / $480.98	Professional		$185.37	$206.65	$480.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $314.49 / $314.49 / $314.49	Professional		$314.49	$314.49	$314.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.49 / $369.99 / $499.49	Facility		$277.49	$369.99	$499.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.81 / $334.82 / $792.22	Professional		$241.81	$334.82	$792.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $435.96	Facility		$239.35	$239.35	$435.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $174.73 / $307.63	Professional		$174.73	$174.73	$307.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $239.35 / $239.35	Facility		$239.35	$239.35	$239.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $239.35 / $239.35	Professional		$174.73	$239.35	$239.35
United Facility/Professional Professional Modifier Low / Median / High Price $123.05 / $184.58 / $254.10	Professional		$123.05	$184.58	$254.10