Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $589.00	Facility		$217.09	$217.09	$589.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.59 / $217.09 / $298.95	Professional		$211.59	$217.09	$298.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $351.23 / $351.23 / $351.23	Professional		$351.23	$351.23	$351.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.47 / $489.05 / $1,267.08	Facility		$417.47	$489.05	$1,267.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.73 / $247.67 / $584.19	Professional		$222.73	$247.67	$584.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $377.90 / $377.90 / $377.90	Professional		$377.90	$377.90	$377.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.44 / $444.59 / $600.20	Facility		$333.44	$444.59	$600.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.55 / $402.30 / $951.96	Professional		$290.55	$402.30	$951.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $523.82	Facility		$286.80	$286.80	$523.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $209.36 / $369.67	Professional		$209.36	$209.36	$369.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $286.80 / $286.80	Facility		$286.80	$286.80	$286.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $286.80 / $286.80	Professional		$209.36	$286.80	$286.80
United Facility/Professional Professional Modifier Low / Median / High Price $147.87 / $221.80 / $305.32	Professional		$147.87	$221.80	$305.32