Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.69 / $4,731.00 / $11,581.00	Facility		$486.69	$4,731.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $480.20 / $895.95	Professional		$351.44	$480.20	$895.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $213.25 / $213.25	Professional		$213.25	$213.25	$213.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.14 / $329.07 / $561.00	Professional		$228.14	$329.07	$561.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.42 / $351.73 / $512.16	Facility		$322.42	$351.73	$512.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $466.75 / $519.99 / $661.81	Professional		$466.75	$519.99	$661.81
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 $396.55 / $571.29 / $883.07	Professional		$396.55	$571.29	$883.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $621.90	Facility		$621.90	$621.90	$621.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $575.23 / $898.16	Professional		$403.45	$575.23	$898.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $333.16 / $611.31	Professional		$71.16	$333.16	$611.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,138.00 / $6,502.00	Facility		$2,233.00	$4,138.00	$6,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $624.29 / $1,027.86	Professional		$415.36	$624.29	$1,027.86