Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.87 / $1,725.65 / $8,956.00	Facility		$544.87	$1,725.65	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $588.70 / $989.55	Professional		$330.12	$588.70	$989.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.82 / $566.65 / $938.39	Professional		$465.82	$566.65	$938.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.33 / $542.10 / $1,011.82	Professional		$301.33	$542.10	$1,011.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $703.64 / $703.64 / $731.79	Professional		$703.64	$703.64	$731.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.73 / $415.91 / $491.80	Facility		$332.73	$415.91	$491.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $840.63 / $1,025.52	Professional		$647.00	$840.63	$1,025.52
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 $321.67 / $610.24 / $1,133.06	Professional		$321.67	$610.24	$1,133.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $534.59 / $1,084.89 / $1,378.03	Facility		$534.59	$1,084.89	$1,378.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $640.88 / $1,129.25	Professional		$366.00	$640.88	$1,129.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $570.20 / $775.95 / $1,074.33	Professional		$570.20	$775.95	$1,074.33
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 $523.54 / $701.15 / $1,177.13	Professional		$523.54	$701.15	$1,177.13