Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.95 / $4,085.00 / $9,504.00	Facility		$607.95	$4,085.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $427.96 / $1,079.81	Professional		$154.47	$427.96	$1,079.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.52 / $327.52 / $327.52	Professional		$327.52	$327.52	$327.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.14 / $606.21 / $1,447.94	Professional		$185.14	$606.21	$1,447.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.96 / $201.55 / $314.93	Facility		$167.96	$201.55	$314.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $726.40 / $1,034.95 / $1,287.71	Professional		$726.40	$1,034.95	$1,287.71
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 $190.95 / $660.36 / $1,513.46	Professional		$190.95	$660.36	$1,513.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,566.42 / $2,414.02 / $4,735.76	Facility		$1,566.42	$2,414.02	$4,735.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $193.15 / $677.11 / $1,513.46	Professional		$193.15	$677.11	$1,513.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $622.90 / $845.27 / $1,161.36	Professional		$622.90	$845.27	$1,161.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.10 / $1,192.90 / $1,783.95	Professional		$763.10	$1,192.90	$1,783.95