Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,596.19 / $5,217.00 / $11,627.00	Facility		$1,596.19	$5,217.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,105.14 / $2,782.77	Professional		$944.47	$1,105.14	$2,782.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.01 / $184.01 / $1,278.00	Professional		$184.01	$184.01	$1,278.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.53 / $1,159.35 / $1,946.02	Professional		$849.53	$1,159.35	$1,946.02
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 $1,070.17 / $1,472.07 / $2,096.67	Professional		$1,070.17	$1,472.07	$2,096.67
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 $1,104.05 / $1,504.41 / $2,096.67	Professional		$1,104.05	$1,504.41	$2,096.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $756.40 / $1,288.21	Professional		$144.74	$756.40	$1,288.21
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 $867.26 / $1,331.33 / $2,194.09	Professional		$867.26	$1,331.33	$2,194.09