Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.03 / $2,895.00 / $10,268.00	Facility		$584.03	$2,895.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.09 / $524.41 / $1,061.86	Professional		$343.09	$524.41	$1,061.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $593.28 / $593.28 / $593.28	Professional		$593.28	$593.28	$593.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.01 / $414.36 / $698.61	Professional		$290.01	$414.36	$698.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.89 / $459.31 / $610.02	Facility		$357.89	$459.31	$610.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $622.66 / $792.47 / $127,498.73	Professional		$622.66	$792.47	$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 $415.97 / $602.91 / $957.44	Professional		$415.97	$602.91	$957.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $683.73 / $683.73 / $683.73	Facility		$683.73	$683.73	$683.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $427.17 / $622.65 / $934.28	Professional		$427.17	$622.65	$934.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $427.11 / $737.52	Professional		$34.85	$427.11	$737.52
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 $431.75 / $659.62 / $1,065.76	Professional		$431.75	$659.62	$1,065.76