Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.45 / $2,565.00 / $8,553.00	Facility		$391.45	$2,565.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $451.69 / $1,315.35	Professional		$230.27	$451.69	$1,315.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.01 / $266.23 / $340.95	Professional		$220.01	$266.23	$340.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $265.68 / $744.76	Professional		$133.13	$265.68	$744.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.97 / $263.95 / $326.72	Facility		$219.97	$263.95	$326.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $785.55 / $928.38	Professional		$274.95	$785.55	$928.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $763.40 / $1,287.90	Facility		$395.91	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.92 / $607.77 / $1,353.44	Professional		$239.92	$607.77	$1,353.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $878.33 / $1,991.80	Facility		$530.00	$878.33	$1,991.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $607.02 / $1,353.44	Professional		$241.96	$607.02	$1,353.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $656.62 / $891.00 / $1,239.08	Professional		$656.62	$891.00	$1,239.08
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,297.00 / $5,235.00	Facility		$675.00	$2,297.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.41 / $845.28 / $1,466.15	Professional		$367.41	$845.28	$1,466.15