Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.47 / $543.47 / $1,775.00	Facility		$543.47	$543.47	$1,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.63 / $543.47 / $699.31	Professional		$475.63	$543.47	$699.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.89 / $758.89 / $758.89	Professional		$758.89	$758.89	$758.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.13 / $1,113.04 / $2,883.77	Facility		$950.13	$1,113.04	$2,883.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.63 / $544.83 / $1,335.64	Professional		$493.63	$544.83	$1,335.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $860.07 / $860.07 / $860.07	Professional		$860.07	$860.07	$860.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.89 / $1,011.85 / $1,366.00	Facility		$758.89	$1,011.85	$1,366.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $661.28 / $915.62 / $2,166.57	Professional		$661.28	$915.62	$2,166.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $1,192.22	Facility		$710.11	$710.11	$1,192.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $518.38 / $841.34	Professional		$518.38	$518.38	$841.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $659.91 / $710.11	Professional		$518.38	$659.91	$710.11
United Facility/Professional Professional Modifier Low / Median / High Price $336.54 / $482.44 / $679.46	Professional		$336.54	$482.44	$679.46