Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,771.41 / $6,328.63 / $10,817.74	Facility		$1,771.41	$6,328.63	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.92 / $1,736.16 / $3,789.65	Professional		$1,554.92	$1,736.16	$3,789.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,094.26 / $2,094.26 / $2,094.26	Professional		$2,094.26	$2,094.26	$2,094.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.61 / $2,086.83	Professional		$0.43	$0.61	$2,086.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,398.67 / $1,525.82 / $2,221.80	Facility		$1,398.67	$1,525.82	$2,221.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,385.79 / $1,645.49 / $2,094.26	Professional		$1,385.79	$1,645.49	$2,094.26
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 $1,570.69 / $2,169.05 / $3,428.34	Professional		$1,570.69	$2,169.05	$3,428.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,979.68 / $1,979.68 / $2,609.71	Facility		$1,979.68	$1,979.68	$2,609.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,582.20 / $2,169.05 / $3,357.60	Professional		$1,582.20	$2,169.05	$3,357.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,329.58 / $1,759.74 / $2,523.25	Professional		$1,329.58	$1,759.74	$2,523.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,404.02 / $2,164.73 / $3,873.67	Professional		$1,404.02	$2,164.73	$3,873.67