Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $630.96	Facility		$371.54	$407.38	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $467.74	Professional		$331.13	$371.54	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $512.86	Professional		$138.04	$181.97	$512.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $436.52	Facility		$363.08	$371.54	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,122.02	Professional		$380.19	$512.86	$1,122.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $1,000.00	Professional		$363.08	$512.86	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $676.08	Professional		$354.81	$537.03	$676.08
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $851.14	Professional		$380.19	$446.68	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $512.86	Facility		$436.52	$436.52	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $562.34	Professional		$239.88	$363.08	$562.34