Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,355.00 / $10,268.00	Facility		$1,000.00	$5,355.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.87 / $576.61 / $1,093.67	Professional		$493.87	$576.61	$1,093.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.41 / $515.21 / $759.26	Professional		$386.41	$515.21	$759.26
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 $318.64 / $468.60 / $804.97	Professional		$318.64	$468.60	$804.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $612.83 / $612.83 / $612.83	Professional		$612.83	$612.83	$612.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.08 / $553.17 / $805.50	Facility		$507.08	$553.17	$805.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $543.53 / $596.55 / $759.26	Professional		$543.53	$596.55	$759.26
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 $565.09 / $793.68 / $1,118.83	Professional		$565.09	$793.68	$1,118.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $651.29 / $651.29	Facility		$651.29	$651.29	$651.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $569.44 / $816.06 / $1,162.48	Professional		$569.44	$816.06	$1,162.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $422.65 / $683.16	Professional		$71.67	$422.65	$683.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $701.23 / $1,160.94	Professional		$477.10	$701.23	$1,160.94