Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.41 / $4,085.00 / $10,268.00	Facility		$608.41	$4,085.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.24 / $420.25 / $809.63	Professional		$360.24	$420.25	$809.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.74 / $201.74 / $201.74	Professional		$201.74	$201.74	$201.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.14 / $507.99 / $840.78	Professional		$358.14	$507.99	$840.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $484.18 / $484.18 / $484.18	Professional		$484.18	$484.18	$484.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $377.26 / $411.55 / $599.27	Facility		$377.26	$411.55	$599.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.61 / $443.83 / $564.87	Professional		$419.61	$443.83	$564.87
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 $423.65 / $585.04 / $818.92	Professional		$423.65	$585.04	$818.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $483.58 / $483.58 / $483.58	Facility		$483.58	$483.58	$483.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $423.65 / $588.39 / $855.12	Professional		$423.65	$588.39	$855.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $349.33 / $535.74	Professional		$67.21	$349.33	$535.74
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 $352.81 / $529.61 / $848.43	Professional		$352.81	$529.61	$848.43