Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $269.15 / $467.74	Facility		$245.47	$269.15	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $457.09	Professional		$223.87	$263.03	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $269.15	Professional		$213.80	$234.42	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $478.63	Professional		$213.80	$295.12	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $281.84	Facility		$234.42	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $562.34	Professional		$234.42	$338.84	$562.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $537.03	Professional		$229.09	$331.13	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $588.84	Professional		$218.78	$288.40	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $512.86	Professional		$213.80	$302.00	$512.86