Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.29 / $203.29 / $544.00	Facility		$203.29	$203.29	$544.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $203.29 / $604.72	Professional		$187.33	$203.29	$604.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $283.87 / $283.87	Professional		$283.87	$283.87	$283.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $355.40 / $416.34 / $1,078.70	Facility		$355.40	$416.34	$1,078.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $212.33 / $524.96	Professional		$177.99	$212.33	$524.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $340.64	Professional		$321.72	$321.72	$340.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $416.34 / $562.16	Facility		$323.47	$416.34	$562.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.87 / $456.66 / $643.42	Professional		$283.87	$456.66	$643.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $445.96	Facility		$211.27	$211.27	$445.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $211.27 / $211.27	Professional		$154.22	$211.27	$211.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.58 / $147.92 / $193.93	Professional		$107.58	$147.92	$193.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $182.73 / $253.83	Professional		$125.88	$182.73	$253.83