Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.62 / $5,784.00 / $11,561.00	Facility		$1,508.62	$5,784.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.86 / $1,014.54 / $2,678.39	Professional		$874.86	$1,014.54	$2,678.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $598.09 / $598.09 / $1,196.19	Professional		$598.09	$598.09	$1,196.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.76 / $898.09 / $1,645.19	Professional		$541.76	$898.09	$1,645.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.78 / $1,014.30 / $1,476.96	Facility		$929.78	$1,014.30	$1,476.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $1,093.84 / $1,392.17	Professional		$809.36	$1,093.84	$1,392.17
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 $961.66 / $1,387.71 / $1,907.33	Professional		$961.66	$1,387.71	$1,907.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $1,187.74 / $1,187.74	Facility		$1,187.74	$1,187.74	$1,187.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,027.73 / $1,392.17 / $1,907.33	Professional		$1,027.73	$1,392.17	$1,907.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $718.38 / $1,243.43	Professional		$72.37	$718.38	$1,243.43
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 $818.64 / $1,206.42 / $2,076.21	Professional		$818.64	$1,206.42	$2,076.21