Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.95 / $4,085.00 / $10,268.00	Facility		$681.95	$4,085.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $478.68 / $915.84	Professional		$410.52	$478.68	$915.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $917.07 / $917.07 / $917.07	Professional		$917.07	$917.07	$917.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.07 / $512.65 / $836.68	Professional		$389.07	$512.65	$836.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.66 / $538.61 / $715.34	Facility		$419.66	$538.61	$715.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.72 / $628.38 / $127,498.73	Professional		$493.72	$628.38	$127,498.73
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 $471.29 / $650.82 / $944.86	Professional		$471.29	$650.82	$944.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $534.66 / $534.66 / $534.66	Facility		$534.66	$534.66	$534.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $471.29 / $657.57 / $933.00	Professional		$471.29	$657.57	$933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $377.25 / $596.10	Professional		$67.21	$377.25	$596.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,115.58 / $3,724.00 / $6,238.00	Facility		$2,115.58	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $594.39 / $949.81	Professional		$377.10	$594.39	$949.81