Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.20 / $1,573.03 / $3,799.00	Facility		$311.20	$1,573.03	$3,799.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $184.10 / $614.38	Professional		$66.40	$184.10	$614.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $140.94 / $140.94	Professional		$65.77	$140.94	$140.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $298.72 / $760.25	Professional		$77.59	$298.72	$760.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.28 / $86.74 / $107.36	Facility		$72.28	$86.74	$107.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.95 / $357.95 / $546.12	Professional		$357.95	$357.95	$546.12
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 $86.74 / $374.22 / $777.48	Professional		$86.74	$374.22	$777.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $951.89 / $1,426.25 / $2,349.53	Facility		$951.89	$1,426.25	$2,349.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $374.22 / $777.48	Professional		$88.18	$374.22	$777.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $423.79 / $580.68	Professional		$311.45	$423.79	$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 $410.62 / $594.98 / $920.32	Professional		$410.62	$594.98	$920.32