Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $1,791.00 / $9,496.00	Facility		$204.59	$1,791.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $435.34 / $939.77	Professional		$116.82	$435.34	$939.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.73 / $590.73 / $590.73	Professional		$590.73	$590.73	$590.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $472.58 / $1,049.78	Professional		$128.60	$472.58	$1,049.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $188.10 / $188.10	Facility		$129.16	$188.10	$188.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $611.58 / $611.58 / $796.35	Professional		$611.58	$611.58	$796.35
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $310.18 / $1,060.05	Professional		$132.97	$310.18	$1,060.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,659.37 / $1,659.37 / $3,098.63	Facility		$1,659.37	$1,659.37	$3,098.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $310.18 / $1,070.71	Professional		$139.30	$310.18	$1,070.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $516.48 / $688.65 / $1,002.58	Professional		$516.48	$688.65	$1,002.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.12 / $706.87 / $1,075.96	Professional		$506.12	$706.87	$1,075.96