Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.56 / $2,801.98 / $9,534.00	Facility		$417.56	$2,801.98	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $412.88 / $783.23	Professional		$285.54	$412.88	$783.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $306.79 / $306.79 / $306.79	Professional		$306.79	$306.79	$306.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.74 / $326.07 / $545.58	Professional		$215.74	$326.07	$545.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $273.19 / $298.02 / $433.96	Facility		$273.19	$298.02	$433.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.82 / $439.71 / $559.64	Professional		$320.82	$439.71	$559.64
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 $321.39 / $467.69 / $723.62	Professional		$321.39	$467.69	$723.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $522.41 / $1,475.23 / $2,554.71	Facility		$522.41	$1,475.23	$2,554.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $341.85 / $479.69 / $723.62	Professional		$341.85	$479.69	$723.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $321.49 / $525.21	Professional		$34.85	$321.49	$525.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.12 / $486.85 / $800.19	Professional		$332.12	$486.85	$800.19