Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $2,006.26 / $9,496.00	Facility		$298.45	$2,006.26	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $314.01 / $1,133.32	Professional		$139.09	$314.01	$1,133.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $173.67 / $619.02	Professional		$169.40	$173.67	$619.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,077.00 / $2,786.00 / $8,800.00	Facility		$1,077.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $434.18 / $906.03	Professional		$144.40	$434.18	$906.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.44 / $196.63 / $233.63	Facility		$160.44	$196.63	$233.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $646.22 / $668.00 / $668.00	Professional		$646.22	$668.00	$668.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $21,571.00	Facility		$283.56	$283.56	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $440.43 / $1,093.69	Professional		$172.69	$440.43	$1,093.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $721.00	Facility		$283.56	$283.56	$721.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $361.80 / $1,093.08	Professional		$173.80	$361.80	$1,093.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.81 / $737.37 / $1,014.85	Professional		$562.81	$737.37	$1,014.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,725.00 / $2,721.00 / $5,457.00	Facility		$1,725.00	$2,721.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.30 / $818.86 / $1,448.51	Professional		$617.30	$818.86	$1,448.51