Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.84 / $153.84 / $153.84	Facility		$153.84	$153.84	$153.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $197.76 / $356.84	Professional		$153.84	$197.76	$356.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $46.00 / $415.02	Professional		$26.00	$46.00	$415.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.54 / $319.62 / $739.00	Professional		$237.54	$319.62	$739.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.91 / $37.45 / $278.88	Facility		$23.91	$37.45	$278.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $61.06 / $610.55	Professional		$21.61	$61.06	$610.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $514.54	Facility		$193.40	$193.40	$514.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $326.25	Professional		$164.39	$193.40	$326.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $285.92	Facility		$193.40	$193.40	$285.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $193.40 / $201.76	Professional		$18.52	$193.40	$201.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $85.13 / $585.28	Professional		$39.90	$85.13	$585.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $33.56 / $299.22	Professional		$13.23	$33.56	$299.22