Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.31 / $2,421.00 / $9,516.00	Facility		$423.31	$2,421.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $495.17 / $803.01	Professional		$289.02	$495.17	$803.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $219.42 / $219.42	Professional		$219.42	$219.42	$219.42
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 $330.89 / $487.22 / $798.23	Professional		$330.89	$487.22	$798.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $533.22 / $533.22 / $533.22	Professional		$533.22	$533.22	$533.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.73 / $465.57 / $465.57	Facility		$319.73	$465.57	$465.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $463.61 / $499.10 / $499.10	Professional		$463.61	$499.10	$499.10
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 $329.13 / $525.20 / $861.47	Professional		$329.13	$525.20	$861.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $535.64 / $535.64 / $535.64	Facility		$535.64	$535.64	$535.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $329.13 / $547.95 / $861.47	Professional		$329.13	$547.95	$861.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $455.79 / $689.56	Professional		$69.26	$455.79	$689.56
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 $389.89 / $518.25 / $860.45	Professional		$389.89	$518.25	$860.45