Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.38 / $3,474.96 / $8,553.00	Facility		$577.38	$3,474.96	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $547.00 / $1,023.49	Professional		$305.64	$547.00	$1,023.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $326.36 / $617.47	Professional		$278.48	$326.36	$617.47
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 $228.89 / $327.06 / $564.69	Professional		$228.89	$327.06	$564.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $363.41 / $363.41	Professional		$342.21	$363.41	$363.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.14 / $308.89 / $449.80	Facility		$283.14	$308.89	$449.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $610.60 / $777.13	Professional		$457.92	$610.60	$777.13
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 $348.27 / $569.13 / $971.40	Professional		$348.27	$569.13	$971.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,054.54 / $2,203.64 / $4,063.27	Facility		$1,054.54	$2,203.64	$4,063.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $355.28 / $562.37 / $977.99	Professional		$355.28	$562.37	$977.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $396.27 / $730.69	Professional		$34.85	$396.27	$730.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,771.00 / $2,869.00 / $5,457.00	Facility		$1,771.00	$2,869.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.19 / $675.98 / $1,102.73	Professional		$450.19	$675.98	$1,102.73