Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,834.57 / $5,201.00 / $11,627.00	Facility		$1,834.57	$5,201.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.89 / $1,258.65 / $2,480.98	Professional		$1,075.89	$1,258.65	$2,480.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,870.71 / $1,870.71 / $1,870.71	Professional		$1,870.71	$1,870.71	$1,870.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,287.00 / $7,946.96 / $14,996.00	Facility		$3,287.00	$7,946.96	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,032.28 / $1,396.61 / $2,216.65	Professional		$1,032.28	$1,396.61	$2,216.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,128.46 / $1,448.29 / $1,923.51	Facility		$1,128.46	$1,448.29	$1,923.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,327.60 / $1,689.67 / $127,498.73	Professional		$1,327.60	$1,689.67	$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 $1,261.99 / $1,724.54 / $2,488.01	Professional		$1,261.99	$1,724.54	$2,488.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,440.74 / $1,440.74 / $1,440.74	Facility		$1,440.74	$1,440.74	$1,440.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,267.26 / $1,750.03 / $2,488.01	Professional		$1,267.26	$1,750.03	$2,488.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.74 / $887.44 / $1,524.65	Professional		$144.74	$887.44	$1,524.65
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 $996.35 / $1,550.18 / $2,552.64	Professional		$996.35	$1,550.18	$2,552.64