Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.19 / $6,944.00 / $11,581.00	Facility		$1,596.19	$6,944.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $1,074.50 / $2,776.05	Professional		$924.00	$1,074.50	$2,776.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,577.22 / $1,577.22 / $1,577.22	Professional		$1,577.22	$1,577.22	$1,577.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,746.00 / $30,285.00	Facility		$2,777.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $864.49 / $1,169.76 / $1,876.07	Professional		$864.49	$1,169.76	$1,876.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $983.14 / $1,261.78 / $1,675.80	Facility		$983.14	$1,261.78	$1,675.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,156.63 / $1,472.07 / $127,498.73	Professional		$1,156.63	$1,472.07	$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 $1,075.83 / $1,472.07 / $2,109.54	Professional		$1,075.83	$1,472.07	$2,109.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,256.56 / $1,256.56 / $1,256.56	Facility		$1,256.56	$1,256.56	$1,256.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,102.84 / $1,502.24 / $2,109.54	Professional		$1,102.84	$1,502.24	$2,109.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $756.40 / $1,288.40	Professional		$144.74	$756.40	$1,288.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $875.80 / $1,323.83 / $2,179.23	Professional		$875.80	$1,323.83	$2,179.23