Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $323.59	Professional		$257.04	$275.42	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $288.40	Professional		$257.04	$288.40	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $257.04	Professional		$38.02	$53.70	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $323.59	Facility		$281.84	$281.84	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $257.04	Professional		$229.09	$229.09	$257.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $478.63	Professional		$263.03	$316.23	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $331.13	Professional		$229.09	$257.04	$331.13