Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.91 / $3,550.23 / $9,504.00	Facility		$412.91	$3,550.23	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.28 / $288.39 / $523.58	Professional		$242.28	$288.39	$523.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,048.04 / $1,048.04 / $1,048.04	Professional		$1,048.04	$1,048.04	$1,048.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.23 / $315.02 / $533.82	Professional		$226.23	$315.02	$533.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.62 / $276.74 / $342.54	Facility		$230.62	$276.74	$342.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $253.68 / $326.82	Professional		$253.68	$253.68	$326.82
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 $238.00 / $353.25 / $515.40	Professional		$238.00	$353.25	$515.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,388.90 / $2,765.41 / $4,114.08	Facility		$2,388.90	$2,765.41	$4,114.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $354.01 / $530.44	Professional		$238.00	$354.01	$530.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.33 / $319.34 / $424.78	Professional		$239.33	$319.34	$424.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $311.33 / $541.21	Professional		$233.64	$311.33	$541.21