Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $84.00 / $268.60	Facility		$38.29	$84.00	$268.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $147.59 / $290.75	Professional		$117.31	$147.59	$290.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $121.63 / $124.91	Professional		$80.00	$121.63	$124.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.00 / $294.00 / $351.00	Facility		$287.00	$294.00	$351.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $123.68 / $212.34	Professional		$88.54	$123.68	$212.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $118.56 / $193.17	Facility		$48.72	$118.56	$193.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $128.44 / $213.75	Professional		$48.72	$128.44	$213.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $250.78 / $553.52	Facility		$177.46	$250.78	$553.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $177.59 / $320.51	Professional		$126.91	$177.59	$320.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $63.10 / $277.60	Facility		$27.17	$63.10	$277.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $176.50 / $320.51	Professional		$126.60	$176.50	$320.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.56 / $173.39 / $326.39	Professional		$125.56	$173.39	$326.39