Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.19 / $710.55 / $1,400.29	Facility		$158.19	$710.55	$1,400.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $313.69 / $830.25	Professional		$302.36	$313.69	$830.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $456.80 / $456.80 / $456.80	Professional		$456.80	$456.80	$456.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $206.25 / $336.36	Professional		$165.00	$206.25	$336.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.43 / $475.54 / $570.65	Facility		$380.43	$475.54	$570.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.43 / $494.56 / $882.05	Professional		$380.43	$494.56	$882.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.63 / $683.63 / $1,117.34	Professional		$683.63	$683.63	$1,117.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $90.91 / $319.13 / $1,385.31	Facility		$90.91	$319.13	$1,385.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.28 / $165.28 / $683.63	Professional		$165.28	$165.28	$683.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $467.48	Professional		$359.05	$359.05	$467.48