Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $465.30 / $762.17	Facility		$310.39	$465.30	$762.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $345.00 / $801.49	Professional		$240.00	$345.00	$801.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $295.18 / $315.81	Professional		$295.18	$295.18	$315.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.64 / $770.07 / $2,139.09	Facility		$493.64	$770.07	$2,139.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $313.76 / $528.99	Professional		$313.76	$313.76	$528.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.36 / $443.26 / $753.54	Facility		$342.36	$443.26	$753.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $313.63 / $328.34 / $443.26	Professional		$313.63	$328.34	$443.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $368.58 / $368.58	Facility		$368.58	$368.58	$368.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $506.69	Professional		$368.58	$368.58	$506.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.73 / $506.46 / $703.97	Facility		$71.73	$506.46	$703.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $368.58 / $368.58 / $563.74	Professional		$368.58	$368.58	$563.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $459.67 / $587.72 / $696.08	Professional		$459.67	$587.72	$696.08
United Facility/Professional Professional Modifier Low / Median / High Price $328.46 / $394.76 / $431.11	Professional		$328.46	$394.76	$431.11