Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.31 / $389.86 / $657.26	Facility		$182.31	$389.86	$657.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $219.82 / $499.80	Professional		$162.50	$219.82	$499.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $206.89 / $206.89	Professional		$206.89	$206.89	$206.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.27 / $504.29 / $1,400.82	Facility		$323.27	$504.29	$1,400.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $219.82 / $370.61	Professional		$219.82	$219.82	$370.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.23 / $212.34 / $378.00	Facility		$202.23	$212.34	$378.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.80 / $202.23 / $219.82	Professional		$149.80	$202.23	$219.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Facility		$241.37	$241.37	$241.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $348.74	Professional		$241.37	$241.37	$348.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.65 / $288.39 / $448.65	Facility		$48.65	$288.39	$448.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $348.74	Professional		$241.37	$241.37	$348.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $268.14 / $317.57	Professional		$209.72	$268.14	$317.57
United Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $254.30 / $282.32	Professional		$215.10	$254.30	$282.32