Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.64 / $643.64 / $1,975.00	Facility		$643.64	$643.64	$1,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.28 / $643.64 / $739.39	Professional		$563.28	$643.64	$739.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $898.76 / $898.76	Professional		$717.78	$898.76	$898.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.24 / $1,318.17 / $3,415.27	Facility		$1,125.24	$1,318.17	$3,415.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.58 / $643.89 / $1,557.84	Professional		$584.58	$643.89	$1,557.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,018.59 / $1,018.59 / $1,018.59	Professional		$1,018.59	$1,018.59	$1,018.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $898.76 / $1,198.33 / $1,617.76	Facility		$898.76	$1,198.33	$1,617.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $783.13 / $1,084.33 / $2,565.89	Professional		$783.13	$1,084.33	$2,565.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $537.78 / $996.39	Professional		$537.78	$537.78	$996.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $958.87	Facility		$736.69	$736.69	$958.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $736.69 / $736.69	Professional		$537.78	$736.69	$736.69
United Facility/Professional Professional Modifier Low / Median / High Price $398.56 / $576.09 / $803.69	Professional		$398.56	$576.09	$803.69