Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.95 / $340.95 / $1,853.00	Facility		$340.95	$340.95	$1,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.95 / $405.11 / $670.27	Professional		$340.95	$405.11	$670.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $731.43 / $731.43 / $731.43	Professional		$731.43	$731.43	$731.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.54 / $702.35 / $1,819.73	Facility		$599.54	$702.35	$1,819.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $680.91 / $1,122.94	Professional		$562.74	$680.91	$1,122.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.88 / $639.33 / $893.90	Facility		$478.88	$639.33	$893.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.95 / $638.50 / $1,367.16	Professional		$446.95	$638.50	$1,367.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $855.00	Professional		$537.70	$537.70	$855.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $736.58 / $736.59	Professional		$537.70	$736.58	$736.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $693.00 / $908.52	Professional		$504.00	$693.00	$908.52
United Facility/Professional Professional Modifier Low / Median / High Price $377.03 / $578.57 / $804.67	Professional		$377.03	$578.57	$804.67