Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.81 / $1,200.00 / $2,000.00	Facility		$257.81	$1,200.00	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.74 / $337.51 / $1,387.20	Professional		$218.74	$337.51	$1,387.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.18 / $272.18 / $272.18	Professional		$272.18	$272.18	$272.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.86 / $355.60 / $570.42	Professional		$285.86	$355.60	$570.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.91 / $2,754.66 / $6,102.63	Facility		$265.91	$2,754.66	$6,102.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.91 / $2,932.05 / $6,865.47	Professional		$265.91	$2,932.05	$6,865.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $700.00	Facility		$334.42	$334.42	$700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $471.64 / $1,013.41 / $1,013.41	Professional		$471.64	$1,013.41	$1,013.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $334.42 / $334.42 / $700.00	Facility		$334.42	$334.42	$700.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $471.64 / $1,013.41	Professional		$0.66	$471.64	$1,013.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.26 / $1,026.58 / $1,806.05	Professional		$780.26	$1,026.58	$1,806.05