Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.12 / $2,577.98 / $4,796.60	Facility		$846.12	$2,577.98	$4,796.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.79 / $1,388.00 / $3,734.25	Professional		$1,156.79	$1,388.00	$3,734.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,166.05 / $1,166.05	Professional		$1,166.05	$1,166.05	$1,166.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,821.95 / $2,842.23 / $7,895.10	Facility		$1,821.95	$2,842.23	$7,895.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.24 / $1,214.63 / $2,047.86	Professional		$1,049.24	$1,214.63	$2,047.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $1,437.12 / $1,437.12 / $1,437.12	Facility		$1,437.12	$1,437.12	$1,437.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $875.35 / $1,670.99 / $2,840.68	Facility		$875.35	$1,670.99	$2,840.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $875.35 / $875.35 / $1,670.99	Professional		$875.35	$875.35	$1,670.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,856.47	Professional		$1,238.93	$1,238.93	$1,856.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $476.77 / $1,354.10 / $2,061.98	Facility		$476.77	$1,354.10	$2,061.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,856.47	Professional		$1,238.93	$1,238.93	$1,856.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,732.87 / $2,215.60 / $2,624.07	Professional		$1,732.87	$2,215.60	$2,624.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,591.17	Professional		$1,214.63	$1,214.63	$1,591.17