Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,238.72 / $10,715.19	Facility		$229.09	$2,238.72	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $436.52	Professional		$147.91	$218.78	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $257.04	Professional		$181.97	$190.55	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,187.76 / $7,943.28	Facility		$954.99	$2,187.76	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $338.84	Professional		$141.25	$204.17	$338.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Facility		$144.54	$162.18	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $245.47 / $575.44	Facility		$128.82	$245.47	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $426.58	Professional		$158.49	$239.88	$426.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $602.56	Facility		$223.87	$257.04	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $234.42 / $398.11	Professional		$154.88	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,479.11	Facility		$100.00	$100.00	$1,479.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $371.54	Professional		$154.88	$245.47	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,737.80 / $3,981.07	Facility		$489.78	$1,737.80	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $323.59	Professional		$131.83	$199.53	$323.59