Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.54 / $3,983.00 / $9,863.00	Facility		$455.54	$3,983.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $452.15 / $785.12	Professional		$325.52	$452.15	$785.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.27 / $236.27 / $331.61	Professional		$236.27	$236.27	$331.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.21 / $270.50 / $484.15	Professional		$179.21	$270.50	$484.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.06 / $397.93 / $528.51	Facility		$310.06	$397.93	$528.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.60 / $621.85 / $127,498.73	Professional		$488.60	$621.85	$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 $372.87 / $528.91 / $823.99	Professional		$372.87	$528.91	$823.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $596.92 / $596.92 / $596.92	Facility		$596.92	$596.92	$596.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $387.99 / $537.37 / $803.49	Professional		$387.99	$537.37	$803.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $323.46 / $547.47	Professional		$71.09	$323.46	$547.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.30 / $585.72 / $918.65	Professional		$380.30	$585.72	$918.65