Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.09 / $5,072.00 / $11,627.00	Facility		$1,056.09	$5,072.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.24 / $603.91 / $1,160.28	Professional		$503.24	$603.91	$1,160.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $523.64 / $860.64 / $860.64	Professional		$523.64	$860.64	$860.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.27 / $634.00 / $1,017.57	Professional		$448.27	$634.00	$1,017.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $648.35 / $648.35 / $688.51	Professional		$648.35	$648.35	$688.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.47 / $688.51 / $914.43	Facility		$536.47	$688.51	$914.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $631.14 / $803.26 / $127,498.73	Professional		$631.14	$803.26	$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 $599.40 / $807.29 / $1,147.94	Professional		$599.40	$807.29	$1,147.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $688.92 / $688.92 / $688.92	Facility		$688.92	$688.92	$688.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $599.40 / $807.29 / $1,177.15	Professional		$599.40	$807.29	$1,177.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $402.31 / $696.74	Professional		$72.37	$402.31	$696.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $4,956.00 / $7,778.00	Facility		$2,398.36	$4,956.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.93 / $719.28 / $1,103.50	Professional		$458.93	$719.28	$1,103.50