Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $2,989.00 / $11,581.00	Facility		$1,005.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $164.03 / $358.69	Professional		$101.16	$164.03	$358.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.96 / $246.96 / $246.96	Professional		$246.96	$246.96	$246.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $185.45	Professional		$0.02	$0.02	$185.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.26 / $2,389.94 / $5,377.40	Facility		$175.26	$2,389.94	$5,377.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $2,742.47 / $4,839.64	Professional		$182.83	$2,742.47	$4,839.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $191.30 / $191.30 / $191.30	Facility		$191.30	$191.30	$191.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $268.68 / $268.68 / $796.70	Professional		$268.68	$268.68	$796.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.22 / $231.69 / $426.33	Professional		$132.22	$231.69	$426.33