Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.15 / $495.38 / $721.82	Facility		$190.15	$495.38	$721.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $340.00 / $847.00	Professional		$225.00	$340.00	$847.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.55 / $266.55 / $266.55	Professional		$266.55	$266.55	$266.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.76 / $676.66 / $1,879.61	Facility		$433.76	$676.66	$1,879.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $283.72 / $491.28	Professional		$283.72	$283.72	$491.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $244.58 / $244.58 / $342.41	Facility		$244.58	$244.58	$342.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $244.58 / $244.58 / $330.18	Professional		$244.58	$244.58	$330.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Facility		$323.87	$323.87	$323.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $476.05	Professional		$323.87	$323.87	$476.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.86 / $195.67 / $646.98	Facility		$3.86	$195.67	$646.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $476.05	Professional		$323.87	$323.87	$476.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.86 / $527.01 / $624.17	Professional		$323.86	$527.01	$624.17
United Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $341.22 / $383.73	Professional		$274.70	$341.22	$383.73