Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.25 / $5,201.00 / $11,581.00	Facility		$552.25	$5,201.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $325.08 / $590.66	Professional		$284.50	$325.08	$590.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.47 / $303.29 / $331.35	Professional		$279.47	$303.29	$331.35
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 $222.25 / $319.56 / $525.23	Professional		$222.25	$319.56	$525.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.58 / $363.95 / $483.38	Facility		$283.58	$363.95	$483.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.62 / $424.61 / $127,498.73	Professional		$333.62	$424.61	$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 $310.70 / $424.61 / $604.20	Professional		$310.70	$424.61	$604.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $367.15 / $367.15 / $367.15	Facility		$367.15	$367.15	$367.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $424.61 / $615.54	Professional		$310.70	$424.61	$615.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $204.02 / $386.29	Professional		$34.77	$204.02	$386.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $378.22 / $624.59	Professional		$249.56	$378.22	$624.59