Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $524.81	Facility		$338.84	$338.84	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $512.86	Professional		$263.03	$338.84	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $851.14	Professional		$426.58	$512.86	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $1,513.56	Facility		$707.95	$741.31	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $891.25	Professional		$338.84	$407.38	$891.25
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $758.58	Facility		$316.23	$478.63	$758.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $851.14	Professional		$416.87	$575.44	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $776.25	Professional		$380.19	$537.03	$776.25
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $794.33 / $1,445.44	Professional		$707.95	$794.33	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $707.95	Facility		$275.42	$457.09	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $467.74	Professional		$229.09	$338.84	$467.74