Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.04 / $6,064.00 / $11,627.00	Facility		$996.04	$6,064.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.05 / $861.30 / $1,703.56	Professional		$578.05	$861.30	$1,703.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $566.32 / $566.32 / $566.32	Professional		$566.32	$566.32	$566.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,343.00 / $6,160.00 / $17,584.00	Facility		$1,343.00	$6,160.00	$17,584.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.21 / $532.66 / $898.87	Professional		$362.21	$532.66	$898.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.51 / $679.58 / $902.58	Facility		$529.51	$679.58	$902.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,010.30 / $1,285.83 / $127,498.73	Professional		$1,010.30	$1,285.83	$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 $664.45 / $1,019.43 / $1,610.74	Professional		$664.45	$1,019.43	$1,610.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,018.68 / $1,681.86 / $3,644.70	Facility		$1,018.68	$1,681.86	$3,644.70
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $101.87 / $101.87 / $101.87	Facility	AS	$101.87	$101.87	$101.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $673.92 / $1,027.72 / $1,610.06	Professional		$673.92	$1,027.72	$1,610.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $687.65 / $1,171.21	Professional		$107.36	$687.65	$1,171.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $6,111.00 / $13,398.00	Facility		$2,874.00	$6,111.00	$13,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.35 / $1,155.72 / $1,922.55	Professional		$766.35	$1,155.72	$1,922.55