Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.58 / $1,233.05 / $8,553.00	Facility		$329.58	$1,233.05	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $332.37 / $631.62	Professional		$208.41	$332.37	$631.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $267.02 / $481.46	Professional		$267.02	$267.02	$481.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $318.64 / $547.77	Professional		$216.76	$318.64	$547.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.71 / $337.39 / $337.39	Facility		$231.71	$337.39	$337.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.27 / $389.26 / $389.26	Professional		$284.27	$389.26	$389.26
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 $238.51 / $389.22 / $643.34	Professional		$238.51	$389.22	$643.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,108.43 / $1,108.43 / $1,108.43	Facility		$1,108.43	$1,108.43	$1,108.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $231.11 / $381.63 / $595.05	Professional		$231.11	$381.63	$595.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $328.61 / $500.84	Professional		$33.13	$328.61	$500.84
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 $301.24 / $400.96 / $663.42	Professional		$301.24	$400.96	$663.42