Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.55 / $5,135.00 / $10,817.74	Facility		$878.55	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.82 / $595.69 / $1,177.29	Professional		$506.82	$595.69	$1,177.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $579.13 / $579.13 / $579.13	Professional		$579.13	$579.13	$579.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.24 / $637.08 / $1,031.75	Professional		$443.24	$637.08	$1,031.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.49 / $590.71 / $860.15	Facility		$541.49	$590.71	$860.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.25 / $637.04 / $810.78	Professional		$630.25	$637.04	$810.78
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 $607.54 / $810.78 / $1,159.55	Professional		$607.54	$810.78	$1,159.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $694.13 / $694.13 / $694.13	Facility		$694.13	$694.13	$694.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $607.54 / $818.90 / $1,194.40	Professional		$607.54	$818.90	$1,194.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $402.31 / $726.79	Professional		$72.37	$402.31	$726.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.81 / $741.20 / $1,200.50	Professional		$484.81	$741.20	$1,200.50