Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.25 / $1,398.84 / $2,259.00	Facility		$595.25	$1,398.84	$2,259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.25 / $696.05 / $1,556.73	Professional		$595.25	$696.05	$1,556.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $440.10 / $545.53 / $947.42	Professional		$440.10	$545.53	$947.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.13 / $803.16 / $1,335.36	Professional		$660.13	$803.16	$1,335.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $721.26 / $721.26 / $721.26	Professional		$721.26	$721.26	$721.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $746.64 / $907.85	Facility		$611.24	$746.64	$907.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.24 / $780.44 / $1,413.39	Professional		$611.24	$780.44	$1,413.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $993.60 / $993.60 / $993.60	Facility		$993.60	$993.60	$993.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $855.74 / $1,420.18	Professional		$601.41	$855.74	$1,420.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $993.60 / $993.60 / $993.60	Facility		$993.60	$993.60	$993.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $614.47 / $880.18 / $1,675.89	Professional		$614.47	$880.18	$1,675.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $598.68 / $778.56 / $1,050.30	Professional		$598.68	$778.56	$1,050.30
United Facility/Professional Professional Modifier Low / Median / High Price $542.40 / $715.62 / $1,258.96	Professional		$542.40	$715.62	$1,258.96