Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.24 / $1,085.00 / $1,897.63	Facility		$607.24	$1,085.00	$1,897.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $570.79 / $786.45	Professional		$544.62	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $455.43	Professional		$455.43	$455.43	$455.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.24 / $834.96 / $1,343.29	Facility		$670.24	$834.96	$1,343.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $645.00 / $1,189.44	Professional		$240.00	$645.00	$1,189.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.19 / $834.96 / $1,127.39	Facility		$645.19	$834.96	$1,127.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $986.77 / $1,625.28	Professional		$493.38	$986.77	$1,625.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $781.51 / $2,590.25	Facility		$493.38	$781.51	$2,590.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $493.38 / $1,470.31	Professional		$347.23	$493.38	$1,470.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $781.51 / $2,590.25	Facility		$493.38	$781.51	$2,590.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $347.23 / $630.42 / $1,381.00	Professional		$347.23	$630.42	$1,381.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $654.68 / $910.86	Professional		$569.29	$654.68	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $455.43 / $1,002.48	Professional		$318.80	$455.43	$1,002.48