Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.93 / $332.12 / $558.78	Facility		$301.93	$332.12	$558.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $311.92 / $487.99	Professional		$284.83	$311.92	$487.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.61 / $295.52 / $319.25	Professional		$275.61	$295.52	$319.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.70 / $355.04 / $555.73	Professional		$263.70	$355.04	$555.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $295.87 / $335.31 / $439.45	Facility		$295.87	$335.31	$439.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $330.64 / $330.64 / $420.81	Professional		$330.64	$330.64	$420.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.92 / $508.92 / $508.92	Facility		$508.92	$508.92	$508.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.87 / $432.45 / $828.43	Professional		$295.87	$432.45	$828.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.92 / $508.92 / $508.92	Facility		$508.92	$508.92	$508.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $295.87 / $428.74 / $654.87	Professional		$295.87	$428.74	$654.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.79 / $319.38 / $446.40	Professional		$246.79	$319.38	$446.40
United Facility/Professional Professional Modifier Low / Median / High Price $287.13 / $413.40 / $689.24	Professional		$287.13	$413.40	$689.24