Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.08 / $386.08 / $902.00	Facility		$386.08	$386.08	$902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $386.08 / $506.34	Professional		$344.57	$386.08	$506.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $624.64 / $624.64 / $624.64	Professional		$624.64	$624.64	$624.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.45 / $869.75 / $2,253.44	Facility		$742.45	$869.75	$2,253.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $424.98 / $1,027.88	Professional		$385.71	$424.98	$1,027.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $672.08 / $672.08 / $672.08	Professional		$672.08	$672.08	$672.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $533.38 / $790.68 / $1,067.42	Facility		$533.38	$790.68	$1,067.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $513.94 / $711.61 / $1,693.00	Professional		$513.94	$711.61	$1,693.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $857.82	Facility		$440.05	$440.05	$857.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $321.24 / $562.16	Professional		$321.24	$321.24	$562.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $440.05	Professional		$321.24	$440.05	$440.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $687.50 / $901.31	Professional		$500.00	$687.50	$901.31
United Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $394.46 / $513.79	Professional		$262.98	$394.46	$513.79