Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.67 / $3,280.18 / $9,516.00	Facility		$869.67	$3,280.18	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $1,165.32 / $1,976.64	Professional		$279.38	$1,165.32	$1,976.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.43 / $1,060.58 / $2,255.44	Professional		$265.43	$1,060.58	$2,255.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.82 / $297.58 / $353.58	Facility		$242.82	$297.58	$353.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.90 / $1,205.13 / $1,369.46	Professional		$977.90	$1,205.13	$1,369.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $21,571.00	Facility		$428.65	$428.65	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.67 / $770.77 / $2,370.23	Professional		$285.67	$770.77	$2,370.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $1,535.63	Facility		$428.65	$428.65	$1,535.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $285.67 / $635.42 / $2,245.92	Professional		$285.67	$635.42	$2,245.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,025.51 / $1,338.33 / $1,867.90	Professional		$1,025.51	$1,338.33	$1,867.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.36 / $1,721.90 / $2,974.11	Professional		$499.36	$1,721.90	$2,974.11