Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.28 / $407.28 / $2,357.00	Facility		$407.28	$407.28	$2,357.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $481.94 / $822.97	Professional		$407.28	$481.94	$822.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.27 / $922.27 / $922.27	Professional		$922.27	$922.27	$922.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.19 / $838.99 / $2,173.75	Facility		$716.19	$838.99	$2,173.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $817.14 / $1,462.70	Professional		$733.00	$817.14	$1,462.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,045.24 / $1,045.24 / $1,045.24	Professional		$1,045.24	$1,045.24	$1,045.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $572.04 / $763.72 / $1,067.81	Facility		$572.04	$763.72	$1,067.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $762.72 / $1,633.14	Professional		$533.90	$762.72	$1,633.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $952.31	Professional		$593.37	$593.37	$952.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $952.31	Facility		$812.83	$812.83	$952.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $812.83	Professional		$593.37	$812.83	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $792.00 / $1,089.00 / $1,427.67	Professional		$792.00	$1,089.00	$1,427.67
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $733.00 / $1,038.42	Professional		$444.95	$733.00	$1,038.42