Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.78 / $1,523.00 / $9,504.00	Facility		$348.78	$1,523.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $348.90 / $760.80	Professional		$171.09	$348.90	$760.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.32 / $371.70 / $524.73	Professional		$248.32	$371.70	$524.73
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 $160.40 / $326.12 / $600.11	Professional		$160.40	$326.12	$600.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $423.54 / $440.48	Professional		$423.54	$423.54	$440.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.37 / $221.71 / $262.02	Facility		$177.37	$221.71	$262.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $505.99 / $617.28	Professional		$390.29	$505.99	$617.28
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 $173.83 / $366.42 / $655.91	Professional		$173.83	$366.42	$655.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $303.75 / $491.18 / $840.40	Facility		$303.75	$491.18	$840.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $393.84 / $681.61	Professional		$195.11	$393.84	$681.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $325.36 / $437.86 / $628.45	Professional		$325.36	$437.86	$628.45
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 $317.23 / $425.49 / $671.04	Professional		$317.23	$425.49	$671.04