Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.77 / $3,445.00 / $8,836.00	Facility		$304.77	$3,445.00	$8,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.51 / $348.78 / $742.05	Professional		$168.51	$348.78	$742.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $189.28 / $230.43	Professional		$150.26	$189.28	$230.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.99 / $213.63 / $367.85	Professional		$150.99	$213.63	$367.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $167.88 / $244.46	Facility		$153.88	$167.88	$244.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $292.88 / $372.75	Professional		$292.88	$292.88	$372.75
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 $205.73 / $386.06 / $746.97	Professional		$205.73	$386.06	$746.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $2,176.44	Facility		$297.22	$297.22	$2,176.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $379.33 / $750.30	Professional		$205.73	$379.33	$750.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $282.47 / $403.22	Professional		$212.39	$282.47	$403.22
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 $389.05 / $611.36 / $1,043.55	Professional		$389.05	$611.36	$1,043.55