Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.88 / $6,021.00 / $10,863.58	Facility		$1,156.88	$6,021.00	$10,863.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.50 / $750.51 / $2,078.00	Professional		$648.50	$750.51	$2,078.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $617.66 / $728.85 / $957.39	Professional		$617.66	$728.85	$957.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.94 / $688.66 / $1,100.23	Professional		$518.94	$688.66	$1,100.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.02 / $630.02 / $917.40	Facility		$630.02	$630.02	$917.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $679.44 / $679.44	Professional		$649.16	$679.44	$679.44
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 $602.83 / $864.74 / $1,320.74	Professional		$602.83	$864.74	$1,320.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,424.18 / $5,424.18 / $5,424.18	Facility		$5,424.18	$5,424.18	$5,424.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $679.44 / $896.97 / $1,249.20	Professional		$679.44	$896.97	$1,249.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $660.61 / $921.33	Professional		$46.00	$660.61	$921.33
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 $653.49 / $859.69 / $1,366.07	Professional		$653.49	$859.69	$1,366.07