Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.31 / $341.31 / $845.00	Facility		$341.31	$341.31	$845.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $341.31 / $547.27	Professional		$301.35	$341.31	$547.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.24 / $524.24 / $524.24	Professional		$524.24	$524.24	$524.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.35 / $768.89 / $1,992.12	Facility		$656.35	$768.89	$1,992.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.20 / $373.72 / $908.68	Professional		$350.20	$373.72	$908.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $594.14 / $594.14 / $594.14	Professional		$594.14	$594.14	$594.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.91 / $698.99 / $943.64	Facility		$460.91	$698.99	$943.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $454.34 / $629.09 / $1,496.68	Professional		$454.34	$629.09	$1,496.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $796.62	Facility		$452.18	$452.18	$796.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $537.36	Professional		$330.09	$330.09	$537.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $452.18	Professional		$330.09	$452.18	$452.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.53 / $407.73 / $534.54	Professional		$296.53	$407.73	$534.54
United Facility/Professional Facility Modifier Low / Median / High Price $696.49 / $696.49 / $819.40	Facility		$696.49	$696.49	$819.40
United Facility/Professional Professional Modifier Low / Median / High Price $232.48 / $348.72 / $472.45	Professional		$232.48	$348.72	$472.45