Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.03 / $320.97 / $694.05	Facility		$206.03	$320.97	$694.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.27 / $206.03 / $328.59	Professional		$161.27	$206.03	$328.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.40 / $316.45 / $316.45	Professional		$251.40	$316.45	$316.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $464.15 / $1,202.56	Facility		$396.21	$464.15	$1,202.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.84 / $247.00 / $548.53	Professional		$205.84	$247.00	$548.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $358.66 / $358.66 / $358.66	Professional		$358.66	$358.66	$358.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.85 / $421.95 / $569.63	Facility		$296.85	$421.95	$569.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $379.76 / $903.48	Professional		$274.27	$379.76	$903.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $485.63	Facility		$296.00	$296.00	$485.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $216.08 / $350.85	Professional		$216.08	$216.08	$350.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $301.92	Facility		$296.00	$296.00	$301.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $296.00 / $296.00	Professional		$216.08	$296.00	$296.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $256.08 / $335.72	Professional		$186.24	$256.08	$335.72
United Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $210.51 / $339.62	Professional		$140.34	$210.51	$339.62