Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.00 / $2,228.98 / $5,990.62	Facility		$434.00	$2,228.98	$5,990.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.46 / $355.38 / $836.55	Professional		$124.46	$355.38	$836.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.07 / $112.07 / $112.07	Professional		$112.07	$112.07	$112.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $192.52 / $623.08	Professional		$129.76	$192.52	$623.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.97 / $141.56 / $188.01	Facility		$117.97	$141.56	$188.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $489.57 / $489.57 / $867.87	Professional		$489.57	$489.57	$867.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $312.00 / $890.11	Professional		$139.68	$312.00	$890.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,255.17 / $1,871.38 / $4,096.47	Facility		$1,255.17	$1,871.38	$4,096.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $354.00 / $905.48	Professional		$141.56	$354.00	$905.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $396.92 / $541.02 / $741.64	Professional		$396.92	$541.02	$741.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.76 / $650.61 / $1,116.61	Professional		$187.76	$650.61	$1,116.61