Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $431.99 / $791.83	Facility		$146.59	$431.99	$791.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $392.42 / $791.83	Professional		$209.14	$392.42	$791.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $735.09 / $735.09 / $735.09	Professional		$735.09	$735.09	$735.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $179.41 / $364.98	Professional		$76.83	$179.41	$364.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $152.61 / $181.34	Facility		$122.09	$152.61	$181.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.88 / $287.04 / $502.23	Professional		$242.88	$287.04	$502.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.82 / $217.22 / $223.23	Professional		$135.82	$217.22	$223.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,138.19 / $2,443.65 / $6,917.22	Facility		$1,138.19	$2,443.65	$6,917.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $124.59 / $349.32 / $349.32	Professional		$124.59	$349.32	$349.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $273.31 / $364.42	Professional		$200.94	$273.31	$364.42
United Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $286.92 / $501.25	Professional		$184.54	$286.92	$501.25