Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.72 / $212.29 / $347.95	Facility		$86.72	$212.29	$347.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $156.97 / $315.24	Professional		$128.00	$156.97	$315.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $147.74 / $147.74	Professional		$147.74	$147.74	$147.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.85 / $360.13 / $1,000.35	Facility		$230.85	$360.13	$1,000.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $149.50 / $252.05	Professional		$149.50	$149.50	$252.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $41.25 / $56.65	Facility		$41.25	$41.25	$56.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $245.98	Professional		$172.37	$172.37	$245.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $180.87 / $180.87	Facility		$180.87	$180.87	$180.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $245.98	Professional		$172.37	$172.37	$245.98
United Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $153.90 / $186.22	Professional		$146.21	$153.90	$186.22