Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.95 / $3,981.00 / $9,516.00	Facility		$1,375.95	$3,981.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $658.77 / $766.46 / $2,425.90	Professional		$658.77	$766.46	$2,425.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $906.00 / $906.00 / $906.00	Professional		$906.00	$906.00	$906.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.29 / $835.35 / $1,312.06	Professional		$610.29	$835.35	$1,312.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $972.30 / $972.30 / $972.30	Professional		$972.30	$972.30	$972.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $699.30 / $897.50 / $1,192.01	Facility		$699.30	$897.50	$1,192.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.71 / $1,047.08 / $127,498.73	Professional		$822.71	$1,047.08	$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 $765.73 / $1,047.08 / $1,453.03	Professional		$765.73	$1,047.08	$1,453.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $898.71 / $2,974.53 / $11,156.05	Facility		$898.71	$2,974.53	$11,156.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $766.17 / $1,047.08 / $1,453.03	Professional		$766.17	$1,047.08	$1,453.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $564.95 / $953.67	Professional		$72.37	$564.95	$953.67
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 $597.61 / $929.37 / $1,513.95	Professional		$597.61	$929.37	$1,513.95