Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.95 / $532.29 / $927.11	Facility		$241.95	$532.29	$927.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $197.51 / $271.56	Professional		$170.94	$197.51	$271.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $262.99	Professional		$262.99	$262.99	$262.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.22 / $284.02 / $465.41	Facility		$232.22	$284.02	$465.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $137.02 / $341.88	Professional		$105.40	$137.02	$341.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $328.74 / $394.49	Facility		$262.99	$328.74	$394.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $341.89 / $563.11	Professional		$262.99	$341.89	$563.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.60 / $299.14 / $1,500.85	Facility		$270.60	$299.14	$1,500.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $216.88 / $509.55	Professional		$120.37	$216.88	$509.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $108.75 / $299.14 / $953.77	Facility		$108.75	$299.14	$953.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $192.94 / $509.55	Professional		$120.37	$192.94	$509.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $207.10 / $236.68 / $325.44	Professional		$207.10	$236.68	$325.44
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $157.79 / $347.33	Professional		$110.46	$157.79	$347.33