Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,325.00 / $10,635.00	Facility		$1,000.00	$3,325.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.61 / $697.49 / $1,390.80	Professional		$601.61	$697.49	$1,390.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $854.12 / $854.12 / $854.12	Professional		$854.12	$854.12	$854.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,544.00 / $30,285.00	Facility		$2,670.00	$5,544.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.96 / $540.32 / $961.61	Professional		$357.96	$540.32	$961.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $638.89 / $819.96 / $1,014.88	Facility		$638.89	$819.96	$1,014.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $751.63 / $956.62 / $127,498.73	Professional		$751.63	$956.62	$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 $717.46 / $956.62 / $1,346.12	Professional		$717.46	$956.62	$1,346.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $817.25 / $817.25 / $817.25	Facility		$817.25	$817.25	$817.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $717.46 / $956.66 / $1,401.68	Professional		$717.46	$956.66	$1,401.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $503.30 / $864.05	Professional		$72.32	$503.30	$864.05
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 $552.64 / $858.06 / $1,395.28	Professional		$552.64	$858.06	$1,395.28