Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.93 / $5,706.00 / $11,581.00	Facility		$1,667.93	$5,706.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.46 / $766.17 / $2,581.98	Professional		$529.46	$766.17	$2,581.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $947.69 / $947.69 / $947.69	Professional		$947.69	$947.69	$947.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $805.77 / $1,430.61	Professional		$624.52	$805.77	$1,430.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $939.55 / $10,911.98 / $21,768.15	Facility		$939.55	$10,911.98	$21,768.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $853.98 / $12,809.71 / $20,930.91	Professional		$853.98	$12,809.71	$20,930.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.62 / $3,608.41 / $21,571.00	Facility		$893.62	$3,608.41	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,720.03 / $3,720.03 / $3,720.03	Professional		$3,720.03	$3,720.03	$3,720.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,608.41 / $3,608.41 / $4,023.80	Facility		$3,608.41	$3,608.41	$4,023.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Professional		$1,800.00	$1,800.00	$1,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.89 / $850.67 / $1,875.23	Professional		$669.89	$850.67	$1,875.23