Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,723.00 / $10,268.00	Facility		$1,000.00	$4,723.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $640.37 / $1,602.83	Professional		$546.57	$640.37	$1,602.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $608.87 / $608.87 / $608.87	Professional		$608.87	$608.87	$608.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,683.00 / $14,996.00	Facility		$1,760.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.53 / $671.76 / $1,066.09	Professional		$484.53	$671.76	$1,066.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $730.64 / $730.64 / $730.64	Professional		$730.64	$730.64	$730.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $730.64 / $904.33	Facility		$569.29	$730.64	$904.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $669.76 / $852.42 / $127,498.73	Professional		$669.76	$852.42	$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 $639.32 / $852.42 / $1,206.70	Professional		$639.32	$852.42	$1,206.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $729.09 / $729.09	Facility		$729.09	$729.09	$729.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $639.32 / $865.33 / $1,206.70	Professional		$639.32	$865.33	$1,206.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $432.92 / $741.11	Professional		$72.32	$432.92	$741.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,853.00	Facility		$2,840.00	$5,625.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.92 / $768.14 / $1,286.77	Professional		$500.92	$768.14	$1,286.77