Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.56 / $818.70 / $2,127.69	Professional		$694.56	$818.70	$2,127.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $709.90 / $835.18 / $1,002.22	Professional		$709.90	$835.18	$1,002.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.04 / $975.36 / $1,525.83	Professional		$737.04	$975.36	$1,525.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,085.73 / $1,085.73 / $1,336.29	Professional		$1,085.73	$1,085.73	$1,336.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.18 / $985.51 / $1,252.77	Facility		$835.18	$985.51	$1,252.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $835.18 / $1,085.73 / $1,723.93	Professional		$835.18	$1,085.73	$1,723.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,020.16 / $1,200.00	Facility		$425.00	$1,020.16	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.66 / $1,087.34 / $1,787.28	Professional		$834.66	$1,087.34	$1,787.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,020.16 / $1,200.00	Facility		$425.00	$1,020.16	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $835.18 / $1,130.00 / $1,887.39	Professional		$835.18	$1,130.00	$1,887.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $702.45 / $964.31 / $1,353.88	Professional		$702.45	$964.31	$1,353.88
United Facility/Professional Professional Modifier Low / Median / High Price $734.56 / $1,034.35 / $1,555.47	Professional		$734.56	$1,034.35	$1,555.47