Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $580.66 / $1,956.82	Facility		$580.66	$580.66	$1,956.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.17 / $580.66 / $747.14	Professional		$508.17	$580.66	$747.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $810.82 / $810.82 / $810.82	Professional		$810.82	$810.82	$810.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.14 / $1,189.20 / $3,081.11	Facility		$1,015.14	$1,189.20	$3,081.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $565.54 / $1,405.41	Professional		$445.00	$565.54	$1,405.41
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $918.93 / $918.93 / $918.93	Professional		$918.93	$918.93	$918.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.82 / $1,081.08 / $1,459.47	Facility		$810.82	$1,081.08	$1,459.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.50 / $978.23 / $2,314.83	Professional		$706.50	$978.23	$2,314.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,273.74	Facility		$702.03	$702.03	$1,273.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $512.48 / $896.84	Professional		$512.48	$512.48	$896.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $702.03	Facility		$702.03	$702.03	$702.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $702.03	Professional		$512.48	$702.03	$702.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $379.50 / $497.52	Professional		$276.00	$379.50	$497.52
United Facility/Professional Professional Modifier Low / Median / High Price $359.56 / $515.29 / $725.93	Professional		$359.56	$515.29	$725.93