Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.89 / $2,078.00 / $9,516.00	Facility		$359.89	$2,078.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.53 / $375.70 / $682.71	Professional		$239.53	$375.70	$682.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $193.27 / $291.77	Professional		$187.96	$193.27	$291.77
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 $247.52 / $361.70 / $614.45	Professional		$247.52	$361.70	$614.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.93 / $387.24 / $387.24	Facility		$265.93	$387.24	$387.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.77 / $425.21 / $425.21	Professional		$309.77	$425.21	$425.21
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 $280.10 / $429.87 / $703.70	Professional		$280.10	$429.87	$703.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $526.96 / $869.03 / $2,447.42	Facility		$526.96	$869.03	$2,447.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $280.10 / $437.84 / $657.02	Professional		$280.10	$437.84	$657.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $356.63 / $559.86	Professional		$33.18	$356.63	$559.86
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.07 / $437.77 / $843.09	Professional		$333.07	$437.77	$843.09