Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $707.95	Professional		$426.58	$501.19	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $512.86	Professional		$446.68	$467.74	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $776.25	Professional		$380.19	$489.78	$776.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $616.60	Facility		$467.74	$537.03	$616.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $588.84	Professional		$512.86	$512.86	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,071.52	Professional		$436.52	$602.56	$1,071.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Professional		$436.52	$602.56	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,174.90	Professional		$524.81	$616.60	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $831.76	Professional		$354.81	$489.78	$831.76