Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.63 / $1,968.95 / $9,504.00	Facility		$538.63	$1,968.95	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $541.51 / $928.68	Professional		$289.26	$541.51	$928.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $578.60 / $584.41 / $905.84	Professional		$578.60	$584.41	$905.84
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 $270.12 / $494.88 / $913.15	Professional		$270.12	$494.88	$913.15
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $660.38 / $660.38 / $660.38	Professional		$660.38	$660.38	$660.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.87 / $373.59 / $441.50	Facility		$298.87	$373.59	$441.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $788.95 / $962.48	Professional		$607.53	$788.95	$962.48
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 $288.64 / $572.72 / $1,034.36	Professional		$288.64	$572.72	$1,034.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $678.60 / $1,572.19	Facility		$536.77	$678.60	$1,572.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $618.94 / $1,047.84	Professional		$305.33	$618.94	$1,047.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $542.71 / $739.37 / $1,019.10	Professional		$542.71	$739.37	$1,019.10
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 $480.29 / $658.98 / $1,222.96	Professional		$480.29	$658.98	$1,222.96