Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $222.78 / $412.25	Facility		$152.90	$222.78	$412.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $169.96 / $292.50	Professional		$121.52	$169.96	$292.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.96 / $159.96 / $159.96	Professional		$159.96	$159.96	$159.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.13 / $390.20 / $1,083.88	Facility		$250.13	$390.20	$1,083.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $286.77	Professional		$170.09	$170.09	$286.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.32 / $231.32 / $323.85	Facility		$231.32	$231.32	$323.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.32 / $231.32 / $312.27	Professional		$231.32	$231.32	$312.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $186.76	Facility		$186.76	$186.76	$186.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.76 / $186.76 / $277.27	Professional		$186.76	$186.76	$277.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $78.48 / $485.57	Facility		$12.48	$78.48	$485.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $186.76 / $277.27	Professional		$177.73	$186.76	$277.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.23 / $207.42 / $245.66	Professional		$162.23	$207.42	$245.66
United Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $191.76 / $218.44	Professional		$158.41	$191.76	$218.44