Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.05 / $338.05 / $889.00	Facility		$338.05	$338.05	$889.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.48 / $338.05 / $467.85	Professional		$329.48	$338.05	$467.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $546.91 / $546.91	Professional		$546.91	$546.91	$546.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.08 / $761.54 / $1,973.08	Facility		$650.08	$761.54	$1,973.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $415.82 / $912.82	Professional		$346.85	$415.82	$912.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $519.23 / $692.31 / $934.62	Facility		$519.23	$692.31	$934.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $692.31 / $1,482.37	Professional		$450.00	$692.31	$1,482.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $846.93	Facility		$432.60	$432.60	$846.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $315.80 / $552.65	Professional		$315.80	$315.80	$552.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $432.60 / $432.60 / $432.60	Facility		$432.60	$432.60	$432.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $432.60 / $432.60	Professional		$315.80	$432.60	$432.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $403.82 / $529.40	Professional		$293.68	$403.82	$529.40
United Facility/Professional Facility Modifier Low / Median / High Price $312.17 / $520.28 / $553.85	Facility		$312.17	$520.28	$553.85
United Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $345.39 / $532.23	Professional		$230.26	$345.39	$532.23