Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,444.81 / $1,444.81 / $3,039.00	Facility		$1,444.81	$1,444.81	$3,039.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.34 / $1,444.81 / $1,689.83	Professional		$1,176.34	$1,444.81	$1,689.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,219.21 / $2,219.21 / $2,219.21	Professional		$2,219.21	$2,219.21	$2,219.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.46 / $3,254.86 / $8,433.04	Facility		$2,778.46	$3,254.86	$8,433.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,372.56 / $1,569.05 / $3,846.64	Professional		$1,372.56	$1,569.05	$3,846.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2,515.12 / $2,515.12 / $2,515.12	Professional		$2,515.12	$2,515.12	$2,515.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,039.12 / $2,958.96 / $3,994.60	Facility		$2,039.12	$2,958.96	$3,994.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,923.32 / $2,663.06 / $6,335.73	Professional		$1,923.32	$2,663.06	$6,335.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $3,355.52	Facility		$1,800.00	$1,800.00	$3,355.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,977.09	Professional		$1,314.00	$1,314.00	$1,977.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $1,800.00	Professional		$1,314.00	$1,800.00	$1,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,599.70 / $2,199.59 / $2,883.66	Professional		$1,599.70	$2,199.59	$2,883.66
United Facility/Professional Professional Modifier Low / Median / High Price $950.05 / $1,476.19 / $1,878.25	Professional		$950.05	$1,476.19	$1,878.25