Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $1,587.00 / $8,553.00	Facility		$279.95	$1,587.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $267.00 / $587.85	Professional		$70.52	$267.00	$587.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Professional		$99.32	$99.32	$99.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.51 / $304.66 / $770.78	Professional		$82.51	$304.66	$770.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $91.68 / $113.48	Facility		$76.40	$91.68	$113.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $365.07 / $365.07 / $554.03	Professional		$365.07	$365.07	$554.03
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 $91.68 / $381.67 / $810.08	Professional		$91.68	$381.67	$810.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $826.77 / $1,257.30 / $2,920.36	Facility		$826.77	$1,257.30	$2,920.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.21 / $381.67 / $810.08	Professional		$93.21	$381.67	$810.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $424.82 / $580.68	Professional		$311.45	$424.82	$580.68
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.15 / $627.19 / $946.65	Professional		$418.15	$627.19	$946.65