Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.49 / $336.49 / $336.49	Facility		$336.49	$336.49	$336.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $364.32 / $667.92	Professional		$336.49	$364.32	$667.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $652.84 / $652.84 / $652.84	Professional		$652.84	$652.84	$652.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.65 / $802.99 / $1,284.78	Facility		$582.65	$802.99	$1,284.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.99 / $682.50 / $1,132.85	Professional		$561.99	$682.50	$1,132.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $87.03 / $746.10	Facility		$54.87	$87.03	$746.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $92.03 / $920.30	Professional		$53.56	$92.03	$920.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $973.60	Facility		$459.79	$459.79	$973.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $721.15	Professional		$390.82	$459.79	$721.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $604.09	Facility		$459.79	$459.79	$604.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $459.79 / $459.79	Professional		$390.82	$459.79	$459.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $481.20 / $721.80 / $1,002.50	Professional		$481.20	$721.80	$1,002.50
United Facility/Professional Professional Modifier Low / Median / High Price $196.04 / $343.07 / $642.27	Professional		$196.04	$343.07	$642.27