Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.21 / $3,983.00 / $9,504.00	Facility		$553.21	$3,983.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.71 / $502.92 / $877.71	Professional		$336.71	$502.92	$877.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $152.75 / $520.35	Professional		$152.75	$152.75	$520.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,722.00 / $8,800.00	Facility		$918.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.57 / $433.24 / $700.08	Professional		$310.57	$433.24	$700.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.71 / $402.85 / $498.61	Facility		$335.71	$402.85	$498.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.88 / $527.46 / $623.36	Professional		$406.88	$527.46	$623.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,939.90 / $2,844.48	Facility		$581.00	$1,939.90	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.24 / $532.50 / $911.07	Professional		$356.24	$532.50	$911.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $1,939.90 / $2,447.86	Facility		$581.00	$1,939.90	$2,447.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $362.09 / $545.95 / $911.07	Professional		$362.09	$545.95	$911.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $483.26 / $719.82	Professional		$34.58	$483.26	$719.82
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.34 / $584.53 / $1,036.98	Professional		$418.34	$584.53	$1,036.98