Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.39 / $3,602.00 / $10,268.00	Facility		$617.39	$3,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $418.98 / $812.81	Professional		$369.83	$418.98	$812.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.70 / $379.70 / $379.70	Professional		$379.70	$379.70	$379.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.19 / $533.74 / $897.19	Professional		$405.19	$533.74	$897.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.70 / $479.62 / $636.99	Facility		$373.70	$479.62	$636.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.65 / $559.54 / $127,498.73	Professional		$439.65	$559.54	$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 $416.64 / $579.54 / $847.27	Professional		$416.64	$579.54	$847.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $485.41 / $485.41 / $485.41	Facility		$485.41	$485.41	$485.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $416.64 / $579.78 / $855.32	Professional		$416.64	$579.78	$855.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $339.79 / $521.01	Professional		$67.21	$339.79	$521.01
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 $323.99 / $525.60 / $780.46	Professional		$323.99	$525.60	$780.46