Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.72 / $762.39 / $996.80	Facility		$482.72	$762.39	$996.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.54 / $542.10 / $729.66	Professional		$499.54	$542.10	$729.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $567.73 / $567.73	Professional		$567.73	$567.73	$567.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $947.72 / $1,110.22 / $2,876.48	Facility		$947.72	$1,110.22	$2,876.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $551.42 / $1,332.26	Professional		$492.35	$551.42	$1,332.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $857.90 / $857.90 / $857.90	Professional		$857.90	$857.90	$857.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $756.97 / $1,009.29 / $1,368.73	Facility		$756.97	$1,009.29	$1,368.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.50 / $1,009.29 / $2,161.09	Professional		$706.50	$1,009.29	$2,161.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,329.67	Facility		$632.51	$632.51	$1,329.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $461.73 / $632.51	Professional		$461.73	$461.73	$632.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $632.51	Professional		$461.73	$632.51	$632.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $428.14 / $588.69 / $771.78	Professional		$428.14	$588.69	$771.78
United Facility/Professional Professional Modifier Low / Median / High Price $335.68 / $487.81 / $702.98	Professional		$335.68	$487.81	$702.98