Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.59 / $4,687.00 / $11,243.00	Facility		$601.59	$4,687.00	$11,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.37 / $483.70 / $885.95	Professional		$335.37	$483.70	$885.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $213.82 / $423.16	Professional		$207.76	$213.82	$423.16
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 $196.74 / $289.33 / $505.55	Professional		$196.74	$289.33	$505.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.76 / $415.52 / $551.87	Facility		$323.76	$415.52	$551.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.33 / $674.97 / $127,498.73	Professional		$530.33	$674.97	$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 $392.62 / $572.59 / $887.47	Professional		$392.62	$572.59	$887.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $622.90 / $622.90 / $12,167.56	Facility		$622.90	$622.90	$12,167.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $407.63 / $576.45 / $882.16	Professional		$407.63	$576.45	$882.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $353.02 / $638.57	Professional		$71.09	$353.02	$638.57
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 $407.36 / $631.88 / $1,079.27	Professional		$407.36	$631.88	$1,079.27