Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $317.10 / $458.23	Facility		$157.85	$317.10	$458.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $195.83 / $557.73	Professional		$155.19	$195.83	$557.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $184.31 / $184.31	Professional		$184.31	$184.31	$184.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $449.56 / $1,248.78	Facility		$288.18	$449.56	$1,248.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $186.66 / $314.70	Professional		$186.66	$186.66	$314.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $63.71 / $271.26	Facility		$55.40	$63.71	$271.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.40 / $55.40 / $132.96	Professional		$55.40	$55.40	$132.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.17 / $215.17 / $215.17	Facility		$215.17	$215.17	$215.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $307.18	Professional		$215.17	$215.17	$307.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $67.50 / $419.13	Facility		$12.90	$67.50	$419.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $215.17 / $215.17 / $307.18	Professional		$215.17	$215.17	$307.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $273.01 / $413.42	Professional		$40.00	$273.01	$413.42
United Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $217.10 / $251.68	Professional		$182.51	$217.10	$251.68