Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.06 / $2,693.00 / $7,676.40	Facility		$327.06	$2,693.00	$7,676.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.26 / $295.87 / $533.61	Professional		$207.26	$295.87	$533.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $216.71 / $346.14	Professional		$106.50	$216.71	$346.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.49 / $256.39 / $447.35	Professional		$183.49	$256.39	$447.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.51 / $221.89 / $263.64	Facility		$177.51	$221.89	$263.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $268.31 / $479.41	Professional		$227.03	$268.31	$479.41
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 $192.13 / $287.19 / $450.32	Professional		$192.13	$287.19	$450.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,524.45 / $2,722.92 / $4,727.00	Facility		$1,524.45	$2,722.92	$4,727.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.13 / $288.94 / $465.33	Professional		$204.13	$288.94	$465.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.57 / $215.01 / $317.34	Professional		$133.57	$215.01	$317.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,268.00	Facility		$1,689.00	$2,600.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.73 / $312.00 / $461.89	Professional		$227.73	$312.00	$461.89