Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $776.25	Professional		$363.08	$426.58	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $457.09	Professional		$223.87	$407.38	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $851.14	Professional		$407.38	$537.03	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $436.52 / $501.19	Facility		$389.05	$436.52	$501.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $478.63	Professional		$426.58	$426.58	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $660.69 / $660.69	Facility		$5.01	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $812.83	Professional		$346.74	$501.19	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $676.08	Professional		$295.12	$398.11	$676.08