Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.95 / $381.24 / $448.52	Facility		$292.95	$381.24	$448.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $343.20 / $448.52	Professional		$257.27	$343.20	$448.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $374.35 / $374.35	Professional		$317.33	$374.35	$374.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $409.08 / $636.28	Professional		$298.70	$409.08	$636.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.04 / $527.42 / $728.15	Professional		$396.04	$527.42	$728.15
Optum Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $413.23 / $629.79	Professional		$413.23	$413.23	$629.79
United Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $478.55 / $820.57	Professional		$335.94	$478.55	$820.57