Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.99 / $3,983.00 / $9,863.00	Facility		$431.99	$3,983.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.17 / $433.27 / $952.69	Professional		$371.17	$433.27	$952.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $296.64 / $296.64	Professional		$296.64	$296.64	$296.64
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 $325.56 / $461.99 / $743.77	Professional		$325.56	$461.99	$743.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.23 / $432.25 / $629.41	Facility		$396.23	$432.25	$629.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $415.92 / $466.16 / $593.29	Professional		$415.92	$466.16	$593.29
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 $440.92 / $593.29 / $839.08	Professional		$440.92	$593.29	$839.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $509.99 / $752.79	Facility		$509.99	$509.99	$752.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $440.92 / $593.29 / $865.69	Professional		$440.92	$593.29	$865.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $325.70 / $523.69	Professional		$71.16	$325.70	$523.69
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 $354.78 / $537.91 / $860.17	Professional		$354.78	$537.91	$860.17