Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.45 / $2,849.00 / $8,920.60	Facility		$534.45	$2,849.00	$8,920.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.68 / $480.87 / $878.02	Professional		$333.68	$480.87	$878.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $558.41 / $558.41 / $558.41	Professional		$558.41	$558.41	$558.41
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 $268.35 / $381.89 / $612.70	Professional		$268.35	$381.89	$612.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.61 / $354.12 / $515.65	Facility		$324.61	$354.12	$515.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.86 / $511.89 / $651.49	Professional		$370.86	$511.89	$651.49
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 $381.90 / $552.86 / $840.52	Professional		$381.90	$552.86	$840.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $1,265.00 / $2,787.23	Facility		$620.91	$1,265.00	$2,787.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $403.96 / $558.41 / $840.52	Professional		$403.96	$558.41	$840.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $333.57 / $583.83	Professional		$34.85	$333.57	$583.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $4,951.00	Facility		$1,689.00	$2,665.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $568.04 / $968.07	Professional		$379.06	$568.04	$968.07