Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $2,547.00 / $10,635.00	Facility		$951.00	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.04 / $708.51 / $1,398.22	Professional		$605.04	$708.51	$1,398.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.81 / $446.81 / $446.81	Professional		$446.81	$446.81	$446.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,392.00 / $14,996.00	Facility		$1,712.00	$3,392.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.16 / $751.69 / $1,209.82	Professional		$544.16	$751.69	$1,209.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $642.72 / $824.88 / $1,095.54	Facility		$642.72	$824.88	$1,095.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $756.14 / $962.36 / $127,498.73	Professional		$756.14	$962.36	$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 $721.77 / $962.36 / $1,374.98	Professional		$721.77	$962.36	$1,374.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $822.09 / $822.09 / $822.09	Facility		$822.09	$822.09	$822.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $721.77 / $982.33 / $1,419.70	Professional		$721.77	$982.33	$1,419.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,920.00 / $9,245.00	Facility		$2,904.00	$5,920.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.72 / $889.65 / $1,445.04	Professional		$577.72	$889.65	$1,445.04