Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.15 / $420.61 / $583.12	Facility		$145.15	$420.61	$583.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.45 / $145.15 / $503.98	Professional		$125.45	$145.15	$503.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $159.15 / $159.15	Professional		$159.15	$159.15	$159.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.04 / $550.62 / $628.50	Facility		$520.04	$550.62	$628.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $103.19 / $184.71	Professional		$74.62	$103.19	$184.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.38 / $118.65 / $205.55	Facility		$37.38	$118.65	$205.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $111.91 / $164.64	Professional		$40.32	$111.91	$164.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.21 / $473.93 / $1,082.83	Facility		$243.21	$473.93	$1,082.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.53 / $172.99 / $300.99	Professional		$99.53	$172.99	$300.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $243.21 / $497.35 / $1,082.83	Facility		$243.21	$497.35	$1,082.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $166.07 / $288.52	Professional		$101.15	$166.07	$288.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.82 / $127.68 / $221.83	Professional		$40.82	$127.68	$221.83
United Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $166.35 / $280.04	Professional		$93.40	$166.35	$280.04