Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.95 / $2,936.00 / $9,534.00	Facility		$595.95	$2,936.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $331.69 / $606.05	Professional		$230.30	$331.69	$606.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.05 / $304.05 / $304.05	Professional		$304.05	$304.05	$304.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $225.12 / $415.44	Professional		$159.15	$225.12	$415.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.57 / $383.48 / $474.64	Facility		$319.57	$383.48	$474.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.20 / $351.53 / $415.44	Professional		$249.20	$351.53	$415.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.86 / $1,686.07 / $2,844.48	Facility		$386.86	$1,686.07	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.60 / $383.49 / $606.33	Professional		$234.60	$383.49	$606.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $1,686.07 / $2,119.01	Facility		$530.00	$1,686.07	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $260.33 / $401.21 / $611.36	Professional		$260.33	$401.21	$611.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $319.46 / $493.26	Professional		$32.36	$319.46	$493.26
United Facility/Professional Facility Modifier Low / Median / High Price $730.00 / $4,138.00 / $6,831.00	Facility		$730.00	$4,138.00	$6,831.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.25 / $380.23 / $783.96	Professional		$250.25	$380.23	$783.96