Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.84 / $2,006.00 / $9,534.00	Facility		$363.84	$2,006.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.11 / $351.82 / $627.70	Professional		$300.11	$351.82	$627.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $460.45 / $460.45 / $460.45	Professional		$460.45	$460.45	$460.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $341.68 / $543.19	Professional		$236.87	$341.68	$543.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $304.17 / $390.38 / $518.48	Facility		$304.17	$390.38	$518.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.44 / $489.29 / $127,498.73	Professional		$384.44	$489.29	$127,498.73
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 $332.77 / $458.51 / $664.02	Professional		$332.77	$458.51	$664.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $580.91 / $580.91 / $580.91	Facility		$580.91	$580.91	$580.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $341.59 / $471.72 / $659.39	Professional		$341.59	$471.72	$659.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $210.70 / $471.36	Professional		$32.56	$210.70	$471.36
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 $285.08 / $433.23 / $699.96	Professional		$285.08	$433.23	$699.96