Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $519.61 / $759.00	Facility		$200.62	$519.61	$759.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $200.62 / $362.02	Professional		$200.62	$200.62	$362.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.24 / $238.24 / $238.24	Professional		$238.24	$238.24	$238.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.44 / $275.86 / $443.81	Facility		$221.44	$275.86	$443.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $121.34 / $242.13	Professional		$54.82	$121.34	$242.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.89 / $263.32 / $413.79	Facility		$204.89	$263.32	$413.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.16 / $326.01 / $601.87	Professional		$213.16	$326.01	$601.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.01 / $258.20 / $931.61	Facility		$163.01	$258.20	$931.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $197.17 / $360.34	Professional		$124.82	$197.17	$360.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $258.20 / $970.28	Facility		$160.66	$258.20	$970.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $131.04 / $230.03	Professional		$19.10	$131.04	$230.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Professional		$137.93	$137.93	$137.93
United Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $150.47 / $300.94	Professional		$89.18	$150.47	$300.94