Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.13 / $2,803.00 / $7,868.40	Facility		$796.13	$2,803.00	$7,868.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $725.33 / $1,258.85	Professional		$538.21	$725.33	$1,258.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.54 / $688.54 / $692.54	Professional		$688.54	$688.54	$692.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.57 / $692.55 / $1,206.22	Professional		$508.57	$692.55	$1,206.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $799.45 / $799.45 / $799.45	Professional		$799.45	$799.45	$799.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $586.08 / $732.60 / $870.48	Facility		$586.08	$732.60	$870.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.17 / $955.10 / $1,165.16	Professional		$727.17	$955.10	$1,165.16
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 $547.98 / $813.61 / $1,360.74	Professional		$547.98	$813.61	$1,360.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $644.10 / $1,546.45 / $3,253.24	Facility		$644.10	$1,546.45	$3,253.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $615.38 / $879.08 / $1,306.18	Professional		$615.38	$879.08	$1,306.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $539.96 / $940.78	Professional		$75.89	$539.96	$940.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $794.65 / $1,325.16	Professional		$599.13	$794.65	$1,325.16