Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $890.90 / $1,201.29	Facility		$313.68	$890.90	$1,201.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $318.27 / $753.00	Professional		$313.68	$318.27	$753.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $312.02 / $312.02	Professional		$312.02	$312.02	$312.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.77 / $547.84 / $900.26	Facility		$338.77	$547.84	$900.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.78 / $422.19 / $661.86	Professional		$407.78	$422.19	$661.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.02 / $313.68 / $471.17	Facility		$312.02	$313.68	$471.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $313.68 / $423.47	Professional		$312.02	$313.68	$423.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $295.92 / $486.76	Facility		$295.92	$295.92	$486.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $729.38	Professional		$486.76	$486.76	$729.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $744.81 / $1,206.76	Facility		$361.62	$744.81	$1,206.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $729.38	Professional		$486.76	$486.76	$729.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $343.23 / $392.10 / $444.73	Professional		$343.23	$392.10	$444.73
United Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $313.68 / $313.68	Facility		$313.68	$313.68	$313.68
United Facility/Professional Professional Modifier Low / Median / High Price $323.85 / $385.21 / $529.09	Professional		$323.85	$385.21	$529.09