Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $2,934.00 / $9,504.00	Facility		$330.98	$2,934.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $848.91 / $1,718.62	Professional		$194.70	$848.91	$1,718.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $187.59 / $766.76	Professional		$187.59	$187.59	$766.76
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 $213.85 / $774.90 / $2,291.86	Professional		$213.85	$774.90	$2,291.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.59 / $225.11 / $278.63	Facility		$187.59	$225.11	$278.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.49 / $928.53 / $1,138.68	Professional		$234.49	$928.53	$1,138.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.95 / $2,032.46 / $3,428.85	Facility		$338.95	$2,032.46	$3,428.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.73 / $854.91 / $2,242.19	Professional		$216.73	$854.91	$2,242.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,032.46 / $2,554.35	Facility		$530.00	$2,032.46	$2,554.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $886.33 / $2,280.32	Professional		$225.10	$886.33	$2,280.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $760.93 / $1,036.26 / $1,441.45	Professional		$760.93	$1,036.26	$1,441.45
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,778.00	Facility		$925.00	$5,209.00	$7,778.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.30 / $1,566.92 / $2,487.23	Professional		$1,023.30	$1,566.92	$2,487.23