Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $142.78 / $298.58	Professional		$138.62	$142.78	$298.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $101.58 / $437.55	Professional		$72.56	$101.58	$437.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.00 / $1,686.00 / $1,893.00	Facility		$1,073.00	$1,686.00	$1,893.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $72.09 / $134.72	Professional		$50.40	$72.09	$134.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $136.22 / $1,928.33	Facility		$104.79	$136.22	$1,928.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $136.53 / $1,963.24	Professional		$104.79	$136.53	$1,963.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $123.35 / $279.14	Professional		$102.95	$123.35	$279.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,271.71 / $2,271.71 / $2,271.71	Facility		$2,271.71	$2,271.71	$2,271.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $102.12 / $308.63	Professional		$91.42	$102.12	$308.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $392.88 / $711.76	Professional		$206.80	$392.88	$711.76