Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.50 / $257.50 / $672.00	Facility		$257.50	$257.50	$672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.50 / $257.50 / $443.30	Professional		$257.50	$257.50	$443.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $395.52 / $395.52 / $395.52	Professional		$395.52	$395.52	$395.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.19 / $580.10 / $1,502.98	Facility		$495.19	$580.10	$1,502.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.26 / $308.70 / $695.33	Professional		$257.26	$308.70	$695.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $448.26 / $448.26	Professional		$448.26	$448.26	$448.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.52 / $527.36 / $738.30	Facility		$395.52	$527.36	$738.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.78 / $527.36 / $1,129.18	Professional		$342.78	$527.36	$1,129.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $682.43	Facility		$329.53	$329.53	$682.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $240.56 / $420.97	Professional		$240.56	$240.56	$420.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $329.53	Professional		$240.56	$329.53	$329.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $285.10 / $392.01 / $513.93	Professional		$285.10	$392.01	$513.93
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $263.08 / $405.42	Professional		$175.40	$263.08	$405.42