Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $660.69	Facility		$239.88	$446.68	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $239.88 / $602.56	Professional		$199.53	$239.88	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $239.88	Professional		$169.82	$204.17	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $512.86 / $1,548.82	Facility		$257.04	$512.86	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $416.87	Professional		$234.42	$257.04	$416.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $398.11	Professional		$263.03	$263.03	$398.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $302.00 / $724.44	Facility		$67.61	$302.00	$724.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $398.11	Professional		$263.03	$263.03	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $363.08	Professional		$186.21	$257.04	$363.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $616.60	Professional		$281.84	$302.00	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $302.00	Professional		$234.42	$281.84	$302.00