Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.61 / $2,849.00 / $10,268.00	Facility		$430.61	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.29 / $416.05 / $742.19	Professional		$345.29	$416.05	$742.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $481.78 / $481.78 / $481.78	Professional		$481.78	$481.78	$481.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,443.00 / $8,800.00	Facility		$1,145.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.63 / $380.89 / $632.84	Professional		$264.63	$380.89	$632.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $460.25 / $460.25 / $460.25	Professional		$460.25	$460.25	$460.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $358.61 / $391.21 / $569.66	Facility		$358.61	$391.21	$569.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $463.72 / $590.17	Professional		$312.73	$463.72	$590.17
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 $387.08 / $540.21 / $764.51	Professional		$387.08	$540.21	$764.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $684.85 / $684.85 / $684.85	Facility		$684.85	$684.85	$684.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $402.72 / $551.14 / $758.80	Professional		$402.72	$551.14	$758.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $323.95 / $546.07	Professional		$34.85	$323.95	$546.07
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $500.18 / $830.31	Professional		$327.51	$500.18	$830.31