Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.24 / $574.24 / $1,308.00	Facility		$574.24	$574.24	$1,308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.59 / $574.24 / $671.63	Professional		$469.59	$574.24	$671.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $929.07 / $929.07 / $929.07	Professional		$929.07	$929.07	$929.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,104.30 / $1,293.64 / $3,351.71	Facility		$1,104.30	$1,293.64	$3,351.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.17 / $589.20 / $1,528.85	Professional		$575.17	$589.20	$1,528.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $999.63 / $999.63 / $999.63	Professional		$999.63	$999.63	$999.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.43 / $1,176.04 / $1,587.65	Facility		$764.43	$1,176.04	$1,587.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.43 / $1,058.44 / $2,518.14	Professional		$764.43	$1,058.44	$2,518.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,200.45	Facility		$694.09	$694.09	$1,200.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $506.69 / $886.70	Professional		$506.69	$506.69	$886.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $694.09	Facility		$694.09	$694.09	$694.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $694.09	Professional		$506.69	$694.09	$694.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $874.23 / $1,146.12	Professional		$635.80	$874.23	$1,146.12
United Facility/Professional Professional Modifier Low / Median / High Price $374.09 / $586.72 / $812.41	Professional		$374.09	$586.72	$812.41