Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $256.67 / $711.58	Facility		$55.60	$256.67	$711.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $263.08 / $505.63	Professional		$256.67	$263.08	$505.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.60 / $179.60 / $179.60	Professional		$179.60	$179.60	$179.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.06 / $625.65 / $1,737.91	Facility		$401.06	$625.65	$1,737.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $80.20 / $288.75	Professional		$64.17	$80.20	$288.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.99 / $228.74 / $274.49	Facility		$182.99	$228.74	$274.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.99 / $237.89 / $424.28	Professional		$182.99	$237.89	$424.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $320.83	Professional		$272.70	$272.70	$320.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $144.55 / $359.17	Facility		$37.75	$144.55	$359.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $320.83	Professional		$272.70	$272.70	$320.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $371.94	Professional		$267.37	$267.37	$371.94