Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.79 / $1,666.18 / $12,883.60	Facility		$592.79	$1,666.18	$12,883.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.68 / $2,522.96 / $12,883.60	Professional		$840.68	$2,522.96	$12,883.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.01 / $214.01 / $598.30	Professional		$214.01	$214.01	$598.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,238.00 / $36,529.00	Facility		$2,097.00	$8,238.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.94 / $2,376.14 / $7,925.89	Professional		$559.94	$2,376.14	$7,925.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $839.91 / $3,564.21 / $11,888.84	Professional	50	$839.91	$3,564.21	$11,888.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $520.07 / $520.07 / $520.07	Professional		$520.07	$520.07	$520.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.44 / $683.58 / $862.95	Facility		$469.44	$683.58	$862.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,847.23 / $3,089.78 / $5,047.37	Professional		$2,847.23	$3,089.78	$5,047.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.38 / $744.38 / $744.38	Professional		$744.38	$744.38	$744.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8,602.08 / $8,602.08 / $8,602.08	Facility		$8,602.08	$8,602.08	$8,602.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $393.76 / $8,347.54 / $9,039.93	Professional		$393.76	$8,347.54	$9,039.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,423.14 / $3,217.95 / $4,399.80	Professional		$2,423.14	$3,217.95	$4,399.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,781.90 / $5,395.17 / $7,554.79	Professional		$3,781.90	$5,395.17	$7,554.79