Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.83 / $2,958.12 / $9,504.00	Facility		$605.83	$2,958.12	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $377.19 / $1,321.76	Professional		$194.93	$377.19	$1,321.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.71 / $170.71 / $170.71	Professional		$170.71	$170.71	$170.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.26 / $557.78 / $1,130.71	Professional		$186.26	$557.78	$1,130.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $202.71 / $253.54	Facility		$174.12	$202.71	$253.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.52 / $725.54 / $725.54	Professional		$595.52	$725.54	$725.54
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 $192.88 / $384.23 / $1,207.24	Professional		$192.88	$384.23	$1,207.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.85 / $529.58 / $1,267.23	Professional		$204.85	$529.58	$1,267.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.36 / $641.47 / $980.22	Professional		$66.36	$641.47	$980.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,920.00 / $7,847.00	Facility		$2,840.00	$5,920.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $731.16 / $967.12 / $1,558.94	Professional		$731.16	$967.12	$1,558.94