Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.61 / $5,355.00 / $10,817.74	Facility		$830.61	$5,355.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.13 / $561.27 / $1,059.61	Professional		$479.13	$561.27	$1,059.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $260.05 / $260.05	Professional		$260.05	$260.05	$260.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $4,534.00 / $14,996.00	Facility		$1,712.00	$4,534.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.85 / $632.02 / $1,023.16	Professional		$463.85	$632.02	$1,023.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $656.95 / $656.95 / $656.95	Professional		$656.95	$656.95	$656.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.87 / $656.95 / $872.52	Facility		$511.87	$656.95	$872.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.21 / $766.44 / $127,498.73	Professional		$602.21	$766.44	$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 $572.70 / $767.23 / $1,106.67	Professional		$572.70	$767.23	$1,106.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $656.56 / $656.56 / $656.56	Facility		$656.56	$656.56	$656.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $572.70 / $770.77 / $1,124.01	Professional		$572.70	$770.77	$1,124.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $401.04 / $695.16	Professional		$72.32	$401.04	$695.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,438.69 / $6,730.00 / $12,871.00	Facility		$2,438.69	$6,730.00	$12,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $687.24 / $1,107.59	Professional		$444.98	$687.24	$1,107.59