Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $489.78 / $691.83	Facility		$446.68	$489.78	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $446.68 / $562.34	Professional		$389.05	$446.68	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $616.60	Professional		$138.04	$181.97	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $436.52 / $512.86	Facility		$426.58	$436.52	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,288.25	Professional		$446.68	$602.56	$1,288.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,148.15	Professional		$436.52	$602.56	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $912.01	Professional		$478.63	$707.95	$912.01
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 $478.63 / $562.34 / $1,071.52	Professional		$478.63	$562.34	$1,071.52
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 $346.74 / $562.34 / $1,023.29	Professional		$346.74	$562.34	$1,023.29