Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.91 / $5,072.00 / $11,581.00	Facility		$971.91	$5,072.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $796.65 / $1,463.18	Professional		$705.15	$796.65	$1,463.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $694.25 / $694.25 / $694.25	Professional		$694.25	$694.25	$694.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,425.00 / $4,041.00 / $25,522.00	Facility		$1,425.00	$4,041.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.39 / $808.23 / $1,296.96	Professional		$597.39	$808.23	$1,296.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $762.92 / $991.80 / $1,430.48	Facility		$762.92	$991.80	$1,430.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $839.21 / $953.65 / $1,487.70	Professional		$839.21	$953.65	$1,487.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $581.00 / $1,200.00	Facility		$425.00	$581.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.46 / $1,018.27 / $1,602.13	Professional		$688.46	$1,018.27	$1,602.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $562.00 / $1,200.00	Facility		$425.00	$562.00	$1,200.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $696.44 / $1,068.08 / $1,571.67	Professional		$696.44	$1,068.08	$1,571.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $772.05 / $1,130.81	Professional		$72.25	$772.05	$1,130.81
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 $661.41 / $931.60 / $1,652.79	Professional		$661.41	$931.60	$1,652.79