Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $345.70 / $598.37	Facility		$142.61	$345.70	$598.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $184.73 / $445.95	Professional		$157.60	$184.73	$445.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.75 / $310.08 / $529.13	Facility		$191.75	$310.08	$529.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $158.87 / $284.08	Professional		$158.87	$158.87	$284.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $266.94	Facility		$177.56	$177.56	$266.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $239.71	Professional		$177.56	$177.56	$239.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Facility		$174.44	$174.44	$174.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $260.16	Professional		$174.44	$174.44	$260.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $227.09 / $322.89	Facility		$82.99	$227.09	$322.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $260.16	Professional		$174.44	$174.44	$260.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $221.95 / $257.46	Professional		$195.31	$221.95	$257.46
United Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $179.11 / $204.03	Professional		$147.96	$179.11	$204.03