Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.39 / $606.39 / $2,043.53	Facility		$606.39	$606.39	$2,043.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.78 / $606.39 / $863.87	Professional		$558.78	$606.39	$863.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.66 / $672.66 / $846.74	Professional		$672.66	$672.66	$846.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.10 / $1,241.88 / $3,217.59	Facility		$1,060.10	$1,241.88	$3,217.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.77 / $613.00 / $1,467.67	Professional		$550.77	$613.00	$1,467.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $959.63 / $959.63 / $959.63	Professional		$959.63	$959.63	$959.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $846.74 / $1,128.98 / $1,580.57	Facility		$846.74	$1,128.98	$1,580.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $733.84 / $1,099.49 / $2,417.37	Professional		$733.84	$1,099.49	$2,417.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $773.33	Professional		$511.00	$511.00	$773.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $773.33	Professional		$511.00	$700.00	$773.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.93 / $658.53 / $863.34	Professional		$478.93	$658.53	$863.34
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.49 / $545.66 / $784.56	Professional		$375.49	$545.66	$784.56