Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.96 / $4,886.00 / $11,581.00	Facility		$492.96	$4,886.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $464.41 / $802.86	Professional		$329.62	$464.41	$802.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.44 / $536.44 / $536.44	Professional		$536.44	$536.44	$536.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.20 / $302.70 / $511.95	Professional		$208.20	$302.70	$511.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.60 / $415.31 / $551.58	Facility		$323.60	$415.31	$551.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.94 / $668.11 / $127,498.73	Professional		$524.94	$668.11	$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 $398.00 / $571.04 / $898.45	Professional		$398.00	$571.04	$898.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $623.66 / $623.66 / $4,234.50	Facility		$623.66	$623.66	$4,234.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $405.64 / $572.66 / $899.05	Professional		$405.64	$572.66	$899.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $333.16 / $611.39	Professional		$71.09	$333.16	$611.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.86 / $633.04 / $1,046.38	Professional		$410.86	$633.04	$1,046.38