Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $467.74	Facility		$141.25	$275.42	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $269.15 / $575.44	Professional		$75.86	$269.15	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $257.04	Professional		$239.88	$251.19	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $1,023.29	Professional		$275.42	$616.60	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $251.19 / $295.12	Facility		$162.18	$251.19	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $851.14	Professional		$173.78	$331.13	$851.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $575.44	Professional		$173.78	$323.59	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $181.97 / $213.80	Professional		$50.12	$181.97	$213.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $616.60	Professional		$281.84	$323.59	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $251.19	Professional		$63.10	$95.50	$251.19