Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.34 / $659.93 / $1,473.92	Facility		$121.34	$659.93	$1,473.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.24 / $85.22 / $260.86	Facility	52	$41.24	$85.22	$260.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $160.54 / $291.97	Professional		$78.37	$160.54	$291.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.79 / $148.16 / $236.99	Professional		$107.79	$148.16	$236.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $246.44 / $591.36	Professional		$113.76	$246.44	$591.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $86.98 / $108.72	Facility		$72.48	$86.98	$108.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $188.84 / $328.87	Professional		$145.26	$188.84	$328.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $124.64 / $287.66	Facility		$124.64	$124.64	$287.66
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $155.10 / $315.80	Professional		$81.50	$155.10	$315.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $255.46 / $544.14 / $1,097.21	Facility		$255.46	$544.14	$1,097.21
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $155.10 / $308.76	Professional		$81.50	$155.10	$308.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $182.18 / $255.17	Professional		$131.03	$182.18	$255.17
United Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $205.44 / $342.60	Professional		$146.66	$205.44	$342.60