Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.47 / $660.65 / $1,397.20	Facility		$204.47	$660.65	$1,397.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $181.09 / $260.14	Professional		$157.46	$181.09	$260.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $256.57	Professional		$135.00	$135.00	$256.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $134.15 / $630.53	Professional		$114.02	$134.15	$630.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $205.45 / $256.82	Facility		$171.21	$205.45	$256.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $230.75 / $375.60	Professional		$171.21	$230.75	$375.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $287.66	Facility		$227.29	$227.29	$287.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $287.66 / $565.17	Facility		$178.37	$287.66	$565.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $219.06 / $351.12	Professional		$141.35	$219.06	$351.12