Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $398.11 / $2,290.87	Facility		$173.78	$398.11	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $457.09	Professional		$151.36	$194.98	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $371.54	Professional		$208.93	$245.47	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $363.08	Professional		$123.03	$169.82	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $478.63	Facility		$263.03	$263.03	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $467.74	Professional		$147.91	$208.93	$467.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $812.83 / $851.14	Facility		$363.08	$812.83	$851.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $338.84	Professional		$147.91	$194.98	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $316.23	Professional		$158.49	$257.04	$316.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $562.34	Professional		$295.12	$346.74	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $912.01	Facility		$199.53	$199.53	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $194.98 / $346.74	Professional		$104.71	$194.98	$346.74