Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.95 / $310.95 / $811.00	Facility		$310.95	$310.95	$811.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.08 / $310.95 / $430.37	Professional		$303.08	$310.95	$430.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $477.63 / $477.63	Professional		$477.63	$477.63	$477.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.99 / $700.52 / $1,814.99	Facility		$597.99	$700.52	$1,814.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.67 / $372.80 / $840.62	Professional		$310.67	$372.80	$840.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $541.30 / $541.30 / $541.30	Professional		$541.30	$541.30	$541.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.63 / $636.84 / $859.73	Facility		$477.63	$636.84	$859.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.95 / $636.84 / $1,363.60	Professional		$413.95	$636.84	$1,363.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $831.84	Facility		$397.94	$397.94	$831.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $508.37	Professional		$290.50	$290.50	$508.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $397.94	Professional		$290.50	$397.94	$397.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $371.47 / $486.99	Professional		$270.16	$371.47	$486.99
United Facility/Professional Professional Modifier Low / Median / High Price $211.81 / $317.70 / $489.58	Professional		$211.81	$317.70	$489.58