Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $3,242.00 / $10,268.00	Facility		$508.51	$3,242.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.92 / $283.63 / $508.51	Professional		$270.92	$283.63	$508.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.48 / $343.76 / $343.76	Professional		$274.48	$343.76	$343.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.23 / $352.49 / $576.54	Professional		$256.23	$352.49	$576.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.43 / $317.32 / $392.75	Facility		$264.43	$317.32	$392.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $290.87 / $290.87 / $348.97	Professional		$290.87	$290.87	$348.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $885.00 / $1,758.30	Facility		$318.64	$885.00	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $396.64 / $584.86	Professional		$279.26	$396.64	$584.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,309.85	Facility		$491.00	$885.00	$1,309.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $405.90 / $584.86	Professional		$286.30	$405.90	$584.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $348.49 / $467.85	Professional		$265.11	$348.49	$467.85
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.54 / $351.21 / $592.54	Professional		$251.54	$351.21	$592.54