Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.07 / $1,158.07 / $3,456.00	Facility		$1,158.07	$1,158.07	$3,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.10 / $1,158.07 / $1,447.02	Professional		$850.10	$1,158.07	$1,447.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,284.64 / $1,284.64 / $1,284.64	Professional		$1,284.64	$1,284.64	$1,284.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,024.60 / $2,371.73 / $6,144.94	Facility		$2,024.60	$2,371.73	$6,144.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.73 / $1,138.79 / $2,802.95	Professional		$1,033.73	$1,138.79	$2,802.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,832.70 / $1,832.70 / $1,940.51	Professional		$1,832.70	$1,832.70	$1,940.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,468.40 / $2,156.12 / $2,910.76	Facility		$1,468.40	$2,156.12	$2,910.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,401.48 / $1,940.51 / $4,616.68	Professional		$1,401.48	$1,940.51	$4,616.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $2,398.01	Facility		$1,184.20	$1,184.20	$2,398.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,512.82	Professional		$864.47	$864.47	$1,512.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,184.20 / $1,184.20	Professional		$864.47	$1,184.20	$1,184.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,165.66 / $1,602.78 / $2,101.25	Professional		$1,165.66	$1,602.78	$2,101.25
United Facility/Professional Professional Modifier Low / Median / High Price $662.61 / $994.91 / $1,368.63	Professional		$662.61	$994.91	$1,368.63