Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.92 / $2,016.30 / $9,504.00	Facility		$335.92	$2,016.30	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.74 / $363.13 / $646.69	Professional		$211.74	$363.13	$646.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.88 / $359.20 / $359.20	Professional		$348.88	$359.20	$359.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $4,072.00	Facility		$937.00	$2,059.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.27 / $332.31 / $568.22	Professional		$221.27	$332.31	$568.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $405.90 / $405.90	Professional		$405.90	$405.90	$405.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.83 / $287.29 / $341.35	Facility		$229.83	$287.29	$341.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $484.92 / $591.57	Professional		$372.09	$484.92	$591.57
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 $241.33 / $399.01 / $656.78	Professional		$241.33	$399.01	$656.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $707.50 / $1,363.90 / $1,867.91	Facility		$707.50	$1,363.90	$1,867.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $245.92 / $395.12 / $628.59	Professional		$245.92	$395.12	$628.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.98 / $331.41 / $515.41	Professional		$32.98	$331.41	$515.41
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.94 / $411.78 / $711.86	Professional		$280.94	$411.78	$711.86