Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.94 / $327.33 / $632.40	Facility		$190.94	$327.33	$632.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $109.61 / $146.41	Professional		$85.59	$109.61	$146.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $93.95 / $93.95	Professional		$42.28	$93.95	$93.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.27 / $172.25 / $277.12	Facility		$138.27	$172.25	$277.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $122.99 / $201.08	Professional		$31.98	$122.99	$201.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $164.42 / $211.40	Facility		$117.44	$164.42	$211.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $156.88 / $257.89	Professional		$101.78	$156.88	$257.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $161.12 / $534.35	Facility		$77.11	$161.12	$534.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $82.33 / $204.38	Professional		$82.33	$82.33	$204.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.11 / $161.22 / $465.27	Facility		$77.11	$161.22	$465.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $82.33 / $264.25	Professional		$82.33	$82.33	$264.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $129.18 / $187.90	Professional		$117.44	$129.18	$187.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $78.30 / $205.13	Professional		$51.66	$78.30	$205.13