Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.75 / $2,757.00 / $9,384.77	Facility		$849.75	$2,757.00	$9,384.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.88 / $518.27 / $3,875.69	Professional		$263.88	$518.27	$3,875.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $304.97 / $2,887.81	Professional		$219.46	$304.97	$2,887.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,050.00 / $8,800.00	Facility		$918.00	$2,050.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.97 / $347.80 / $592.23	Professional		$272.97	$347.80	$592.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.98 / $302.38 / $374.25	Facility		$251.98	$302.38	$374.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.98 / $2,256.41 / $2,666.66	Professional		$314.98	$2,256.41	$2,666.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.13 / $763.40 / $959.43	Facility		$454.13	$763.40	$959.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $696.87 / $3,992.28	Professional		$285.42	$696.87	$3,992.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $763.40 / $959.43	Facility		$530.00	$763.40	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $717.47 / $3,918.46	Professional		$285.42	$717.47	$3,918.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,860.03 / $2,581.57 / $3,556.82	Professional		$1,860.03	$2,581.57	$3,556.82
United Facility/Professional Facility Modifier Low / Median / High Price $707.00 / $2,468.00 / $5,235.00	Facility		$707.00	$2,468.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $618.21 / $2,991.83 / $5,634.52	Professional		$618.21	$2,991.83	$5,634.52