Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.71 / $4,864.50 / $9,863.00	Facility		$1,316.71	$4,864.50	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.03 / $791.52 / $2,420.54	Professional		$643.03	$791.52	$2,420.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $668.34 / $668.34 / $668.34	Professional		$668.34	$668.34	$668.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $814.02 / $1,317.25	Professional		$617.78	$814.02	$1,317.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $657.79 / $717.59 / $1,044.91	Facility		$657.79	$717.59	$1,044.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $612.57 / $773.87 / $984.93	Professional		$612.57	$773.87	$984.93
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 $738.69 / $1,020.10 / $1,489.36	Professional		$738.69	$1,020.10	$1,489.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $6,337.74	Facility		$839.30	$839.30	$6,337.74
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $738.69 / $1,039.18 / $1,471.55	Professional		$738.69	$1,039.18	$1,471.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $530.30 / $903.31	Professional		$72.37	$530.30	$903.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.13 / $939.50 / $1,486.33	Professional		$594.13	$939.50	$1,486.33