Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $154.40 / $537.51	Facility		$52.33	$154.40	$537.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $159.50 / $264.76	Professional		$139.60	$159.50	$264.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.85 / $326.66 / $846.34	Facility		$278.85	$326.66	$846.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $159.35 / $393.71	Professional		$144.86	$159.35	$393.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.72 / $296.95 / $400.90	Facility		$222.72	$296.95	$400.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $268.75 / $635.85	Professional		$194.10	$268.75	$635.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $349.93	Facility		$175.00	$175.00	$349.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $244.34	Professional		$127.75	$175.00	$244.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $175.00 / $322.56	Facility		$92.31	$175.00	$322.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $175.00 / $175.00	Professional		$127.75	$175.00	$175.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.68 / $300.68 / $353.74	Facility		$300.68	$300.68	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $139.76 / $199.42	Professional		$98.77	$139.76	$199.42