Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $630.00 / $1,250.33	Facility		$416.78	$630.00	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.79	Professional		$416.78	$416.78	$416.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.81 / $218.81 / $218.81	Professional		$218.81	$218.81	$218.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $196.71 / $540.98	Professional		$141.69	$196.71	$540.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $644.11 / $8,710.45	Facility		$416.78	$644.11	$8,710.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $1,000.27 / $9,799.25	Professional		$435.52	$1,000.27	$9,799.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.09 / $525.57 / $2,809.91	Facility		$474.09	$525.57	$2,809.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $2,345.28	Professional		$416.78	$416.78	$2,345.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $474.09 / $1,389.08 / $2,809.91	Facility		$474.09	$1,389.08	$2,809.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $328.21 / $375.10 / $453.25	Professional		$328.21	$375.10	$453.25
United Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $228.84 / $545.98	Professional		$160.19	$228.84	$545.98