Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,097.89 / $3,602.00 / $10,268.00	Facility		$1,097.89	$3,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $690.28 / $1,345.84	Professional		$585.00	$690.28	$1,345.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $634.41 / $634.41 / $634.41	Professional		$634.41	$634.41	$634.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $3,287.00 / $14,996.00	Facility		$1,622.00	$3,287.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.15 / $738.08 / $1,187.86	Professional		$560.15	$738.08	$1,187.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $593.19 / $647.11 / $942.29	Facility		$593.19	$647.11	$942.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.38 / $697.86 / $888.19	Professional		$554.38	$697.86	$888.19
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 $666.14 / $919.91 / $1,329.51	Professional		$666.14	$919.91	$1,329.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $754.01 / $754.01 / $754.01	Facility		$754.01	$754.01	$754.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $666.14 / $941.20 / $1,318.31	Professional		$666.14	$941.20	$1,318.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $479.98 / $795.06	Professional		$72.32	$479.98	$795.06
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 $538.78 / $841.02 / $1,342.57	Professional		$538.78	$841.02	$1,342.57