Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.05 / $2,895.00 / $9,534.00	Facility		$761.05	$2,895.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.39 / $531.36 / $1,204.60	Professional		$447.39	$531.36	$1,204.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $780.01 / $780.01 / $780.01	Professional		$780.01	$780.01	$780.01
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 $350.38 / $513.01 / $831.83	Professional		$350.38	$513.01	$831.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $603.88 / $603.88 / $603.88	Professional		$603.88	$603.88	$603.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $470.53 / $513.29 / $747.43	Facility		$470.53	$513.29	$747.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.40 / $553.54 / $704.52	Professional		$418.40	$553.54	$704.52
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 $524.61 / $704.52 / $973.52	Professional		$524.61	$704.52	$973.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $604.47 / $604.47 / $2,044.12	Facility		$604.47	$604.47	$2,044.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $708.55 / $1,028.58	Professional		$526.15	$708.55	$1,028.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $389.84 / $637.34	Professional		$71.16	$389.84	$637.34
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 $403.64 / $628.90 / $1,048.08	Professional		$403.64	$628.90	$1,048.08