Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.83 / $337.83 / $779.00	Facility		$337.83	$337.83	$779.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.39 / $337.83 / $428.12	Professional		$314.39	$337.83	$428.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $518.90 / $518.90 / $546.58	Professional		$518.90	$518.90	$546.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.66 / $761.06 / $1,971.83	Facility		$649.66	$761.06	$1,971.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.51 / $378.01 / $899.43	Professional		$337.51	$378.01	$899.43
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $588.09 / $588.09 / $588.09	Professional		$588.09	$588.09	$588.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.71 / $691.87 / $934.02	Facility		$501.71	$691.87	$934.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $449.72 / $622.67 / $1,481.43	Professional		$449.72	$622.67	$1,481.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $766.88	Facility		$459.90	$459.90	$766.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $575.27	Professional		$335.73	$335.73	$575.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $459.90 / $459.90	Professional		$335.73	$459.90	$459.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.04 / $514.31 / $674.26	Professional		$374.04	$514.31	$674.26
United Facility/Professional Professional Modifier Low / Median / High Price $230.11 / $345.16 / $466.21	Professional		$230.11	$345.16	$466.21