Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.52 / $4,010.46 / $9,863.00	Facility		$700.52	$4,010.46	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $773.31 / $1,286.22	Professional		$575.12	$773.31	$1,286.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $553.69 / $715.82 / $858.98	Professional		$553.69	$715.82	$858.98
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 $549.79 / $731.32 / $1,273.80	Professional		$549.79	$731.32	$1,273.80
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $808.88 / $808.88	Professional		$808.88	$808.88	$808.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $779.85 / $926.62	Facility		$623.88	$779.85	$926.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.58 / $966.36 / $1,178.90	Professional		$735.58	$966.36	$1,178.90
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 $581.47 / $858.98 / $1,416.51	Professional		$581.47	$858.98	$1,416.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,574.75 / $2,151.90 / $3,497.09	Facility		$1,574.75	$2,151.90	$3,497.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $627.91 / $906.32 / $1,473.25	Professional		$627.91	$906.32	$1,473.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $554.51 / $934.05	Professional		$75.89	$554.51	$934.05
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 $592.77 / $790.36 / $1,301.21	Professional		$592.77	$790.36	$1,301.21