Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.32 / $98.32 / $525.00	Facility		$98.32	$98.32	$525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $112.47 / $171.68	Professional		$98.32	$112.47	$171.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $210.91 / $210.91	Professional		$210.91	$210.91	$210.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $202.55 / $524.79	Facility		$172.91	$202.55	$524.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $193.20 / $323.76	Professional		$162.25	$193.20	$323.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.11 / $184.37 / $257.80	Facility		$138.11	$184.37	$257.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $184.14 / $394.28	Professional		$128.90	$184.14	$394.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $252.71	Facility		$211.82	$211.82	$252.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $154.63 / $246.38	Professional		$154.63	$154.63	$246.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $211.82	Professional		$154.63	$211.82	$211.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $198.00 / $259.57	Professional		$144.00	$198.00	$259.57
United Facility/Professional Professional Modifier Low / Median / High Price $108.73 / $164.69 / $232.06	Professional		$108.73	$164.69	$232.06