Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.50 / $5,931.00 / $11,561.00	Facility		$1,552.50	$5,931.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.11 / $1,226.78 / $2,797.98	Professional		$910.11	$1,226.78	$2,797.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $962.97 / $1,165.70 / $1,520.48	Professional		$962.97	$1,165.70	$1,520.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,199.00 / $7,180.00 / $30,285.00	Facility		$3,199.00	$7,180.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $859.16 / $1,178.33 / $1,953.54	Professional		$859.16	$1,178.33	$1,953.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,145.42 / $1,216.38 / $1,327.88	Professional		$1,145.42	$1,216.38	$1,327.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.65 / $1,216.38 / $1,520.48	Facility		$1,013.65	$1,216.38	$1,520.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,061.35 / $1,317.75 / $1,976.63	Professional		$1,061.35	$1,317.75	$1,976.63
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 $1,052.40 / $1,469.80 / $2,146.87	Professional		$1,052.40	$1,469.80	$2,146.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,475.06 / $3,285.44 / $7,367.30	Facility		$1,475.06	$3,285.44	$7,367.30
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $120.27 / $120.27 / $120.27	Facility	AS	$120.27	$120.27	$120.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,025.29 / $1,469.80 / $2,107.16	Professional		$1,025.29	$1,469.80	$2,107.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.28 / $753.28 / $1,285.56	Professional		$108.28	$753.28	$1,285.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,227.00 / $9,125.00 / $14,134.00	Facility		$4,227.00	$9,125.00	$14,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $858.96 / $1,319.75 / $2,139.89	Professional		$858.96	$1,319.75	$2,139.89