Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $115.98 / $397.46	Facility		$43.37	$115.98	$397.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $203.80 / $341.85	Professional		$182.74	$203.80	$341.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.07 / $284.58 / $575.00	Professional		$226.07	$284.58	$575.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $356.29 / $417.38 / $1,081.40	Facility		$356.29	$417.38	$1,081.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $220.96 / $493.27	Professional		$185.11	$220.96	$493.27
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $322.52 / $322.52 / $322.52	Professional		$322.52	$322.52	$322.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.58 / $382.03 / $531.22	Facility		$284.58	$382.03	$531.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.61 / $379.44 / $812.46	Professional		$265.61	$379.44	$812.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $526.70	Facility		$225.12	$237.10	$526.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $237.10	Professional		$173.08	$237.10	$237.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $221.33 / $290.16	Professional		$160.96	$221.33	$290.16
United Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $189.30 / $275.08	Professional		$126.20	$189.30	$275.08