Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,862.09	Facility		$467.74	$758.58	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $812.83	Professional		$239.88	$457.09	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $346.74	Professional		$275.42	$275.42	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $1,023.29	Facility		$512.86	$588.84	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $758.58	Professional		$223.87	$275.42	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $776.25	Facility		$446.68	$645.65	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $758.58	Professional		$562.34	$660.69	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $3,235.94	Facility		$363.08	$363.08	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,122.02	Professional		$257.04	$489.78	$1,122.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $575.44 / $2,290.87	Facility		$281.84	$575.44	$2,290.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $1,258.93	Professional		$257.04	$302.00	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $691.83	Professional		$416.87	$501.19	$691.83
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,288.25	Professional		$467.74	$616.60	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $501.19 / $562.34	Facility		$199.53	$501.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $645.65	Professional		$234.42	$331.13	$645.65