Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.02 / $379.02 / $889.00	Facility		$379.02	$379.02	$889.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.22 / $379.02 / $541.45	Professional		$337.22	$379.02	$541.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $582.16 / $582.16 / $582.16	Professional		$582.16	$582.16	$582.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.87 / $853.84 / $2,212.23	Facility		$728.87	$853.84	$2,212.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.67 / $414.81 / $1,009.08	Professional		$378.67	$414.81	$1,009.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $659.79 / $659.79 / $659.79	Professional		$659.79	$659.79	$659.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.78 / $776.22 / $1,047.90	Facility		$515.78	$776.22	$1,047.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $504.54 / $698.60 / $1,662.04	Professional		$504.54	$698.60	$1,662.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $887.92	Facility		$427.25	$427.25	$887.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $545.80	Professional		$311.89	$311.89	$545.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $427.25	Professional		$311.89	$427.25	$427.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.28 / $452.77 / $593.58	Professional		$329.28	$452.77	$593.58
United Facility/Professional Professional Modifier Low / Median / High Price $258.17 / $387.25 / $525.65	Professional		$258.17	$387.25	$525.65