Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.74 / $708.62 / $2,376.87	Professional		$601.74	$708.62	$2,376.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,076.68 / $1,076.68 / $1,076.68	Professional		$1,076.68	$1,076.68	$1,076.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.96 / $852.48 / $1,345.04	Professional		$658.96	$852.48	$1,345.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $831.55 / $831.55 / $831.55	Professional		$831.55	$831.55	$831.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $732.13 / $1,073.98	Facility		$623.66	$732.13	$1,073.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $795.40 / $903.86 / $1,012.33	Professional		$795.40	$903.86	$1,012.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $883.74 / $1,200.00	Facility		$425.00	$883.74	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.22 / $949.07 / $1,547.42	Professional		$722.22	$949.07	$1,547.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $883.74 / $1,200.00	Facility		$425.00	$883.74	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $723.09 / $987.03 / $1,565.40	Professional		$723.09	$987.03	$1,565.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $621.48 / $853.56 / $1,196.16	Professional		$621.48	$853.56	$1,196.16
United Facility/Professional Professional Modifier Low / Median / High Price $649.33 / $899.31 / $1,469.18	Professional		$649.33	$899.31	$1,469.18