Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.66 / $333.66 / $714.02	Facility		$333.66	$333.66	$714.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.66 / $417.09 / $586.95	Professional		$333.66	$417.09	$586.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $505.69 / $505.69 / $505.69	Professional		$505.69	$505.69	$505.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.73 / $687.34 / $1,780.82	Facility		$586.73	$687.34	$1,780.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.95 / $733.69 / $1,196.34	Professional		$586.95	$733.69	$1,196.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $718.83 / $718.83 / $718.83	Professional		$718.83	$718.83	$718.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $468.64 / $624.85 / $852.60	Facility		$468.64	$624.85	$852.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.40 / $613.87 / $1,337.93	Professional		$437.40	$613.87	$1,337.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $794.65	Facility		$621.29	$647.80	$794.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $713.63	Professional		$472.90	$472.90	$713.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $621.29 / $647.80	Professional		$472.90	$621.29	$647.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $514.66 / $707.66 / $927.74	Professional		$514.66	$707.66	$927.74
United Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $487.81 / $731.45	Professional		$330.16	$487.81	$731.45