Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.72 / $1,493.77 / $10,917.50	Facility		$534.72	$1,493.77	$10,917.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.33 / $2,271.78 / $10,917.50	Professional		$758.33	$2,271.78	$10,917.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.69 / $269.69 / $477.14	Professional		$269.69	$269.69	$477.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $6,462.00 / $29,406.00	Facility		$1,895.00	$6,462.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.60 / $2,249.04 / $6,514.75	Professional		$506.60	$2,249.04	$6,514.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $468.84 / $468.84 / $468.84	Professional		$468.84	$468.84	$468.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.20 / $616.24 / $777.95	Facility		$423.20	$616.24	$777.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,492.02 / $2,694.93 / $4,777.38	Professional		$2,492.02	$2,694.93	$4,777.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.14 / $671.14 / $671.14	Professional		$671.14	$671.14	$671.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5,980.28 / $5,980.28 / $5,980.28	Facility		$5,980.28	$5,980.28	$5,980.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $407.89 / $645.99 / $7,350.31	Professional		$407.89	$645.99	$7,350.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,281.36 / $3,032.06 / $4,142.12	Professional		$2,281.36	$3,032.06	$4,142.12
United Facility/Professional Professional Modifier Low / Median / High Price $3,322.70 / $4,419.66 / $6,739.31	Professional		$3,322.70	$4,419.66	$6,739.31