Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.79 / $3,072.00 / $8,956.00	Facility		$586.79	$3,072.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.47 / $440.18 / $932.96	Professional		$127.47	$440.18	$932.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $111.89 / $111.89	Professional		$111.89	$111.89	$111.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $3,175.00 / $14,996.00	Facility		$919.00	$3,175.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $769.58 / $1,254.86	Professional		$159.58	$769.58	$1,254.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $147.54 / $182.61	Facility		$122.95	$147.54	$182.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $600.39 / $872.70	Professional		$153.69	$600.39	$872.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.24 / $2,032.46 / $3,428.85	Facility		$222.24	$2,032.46	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.76 / $298.30 / $1,131.10	Professional		$141.76	$298.30	$1,131.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,032.46 / $3,428.85	Facility		$530.00	$2,032.46	$3,428.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $298.30 / $1,113.06	Professional		$147.54	$298.30	$1,113.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.01 / $669.86 / $933.10	Professional		$504.01	$669.86	$933.10
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,460.00 / $7,821.00	Facility		$925.00	$5,460.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.72 / $852.13 / $1,361.87	Professional		$590.72	$852.13	$1,361.87