Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.46 / $240.46 / $240.46	Facility		$240.46	$240.46	$240.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $240.46 / $315.31	Professional		$226.20	$240.46	$315.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $305.41	Professional		$250.85	$250.85	$305.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $269.04 / $569.29	Professional		$224.20	$269.04	$569.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $44.77 / $476.28	Facility		$38.04	$44.77	$476.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $95.86 / $435.67	Professional		$29.10	$95.86	$435.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $436.75	Facility		$209.52	$209.52	$436.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $209.52 / $517.50	Professional		$178.09	$209.52	$517.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $321.39	Facility		$209.52	$209.52	$321.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $284.45	Professional		$31.65	$209.52	$284.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.41 / $276.61 / $384.18	Professional		$184.41	$276.61	$384.18
United Facility/Professional Professional Modifier Low / Median / High Price $142.91 / $210.24 / $284.18	Professional		$142.91	$210.24	$284.18