Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.17 / $3,143.96 / $9,516.00	Facility		$482.17	$3,143.96	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.69 / $987.73 / $2,112.50	Professional		$286.69	$987.73	$2,112.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $179.03 / $237.86	Professional		$179.03	$179.03	$237.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $511.66 / $1,919.82	Professional		$248.18	$511.66	$1,919.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $319.70 / $379.86	Facility		$260.88	$319.70	$379.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.74 / $1,018.12 / $1,156.95	Professional		$814.74	$1,018.12	$1,156.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $21,571.00	Facility		$459.52	$459.52	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $747.07 / $2,012.42	Professional		$294.02	$747.07	$2,012.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.52 / $459.52 / $1,241.09	Facility		$459.52	$459.52	$1,241.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $305.07 / $716.14 / $1,938.74	Professional		$305.07	$716.14	$1,938.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $817.22 / $1,090.11 / $1,510.36	Professional		$817.22	$1,090.11	$1,510.36
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.50 / $1,500.74 / $2,796.70	Professional		$1,032.50	$1,500.74	$2,796.70