Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.06 / $2,800.00 / $11,440.00	Facility		$318.06	$2,800.00	$11,440.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $255.02 / $2,859.44	Professional		$187.10	$255.02	$2,859.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.57 / $184.57 / $184.57	Professional		$184.57	$184.57	$184.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.93 / $234.83 / $400.72	Professional		$191.93	$234.83	$400.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $229.19 / $229.19 / $229.19	Professional		$229.19	$229.19	$229.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $253.53 / $295.41	Facility		$202.82	$253.53	$295.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.44 / $273.81 / $334.02	Professional		$201.44	$273.81	$334.02
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 $189.39 / $263.67 / $435.35	Professional		$189.39	$263.67	$435.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $1,732.22 / $4,856.39	Facility		$0.83	$1,732.22	$4,856.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $189.64 / $298.14 / $435.35	Professional		$189.64	$298.14	$435.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $264.20 / $363.14	Professional		$194.02	$264.20	$363.14
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 $182.65 / $243.88 / $407.32	Professional		$182.65	$243.88	$407.32