Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $524.81	Facility		$295.12	$389.05	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $446.68	Professional		$239.88	$338.84	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $426.58	Professional		$295.12	$398.11	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $645.65	Professional		$302.00	$398.11	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $676.08	Professional		$416.87	$416.87	$676.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $831.76	Professional		$354.81	$478.63	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Facility		$478.63	$478.63	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $660.69	Professional		$263.03	$389.05	$660.69