Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.73 / $5,380.55 / $10,817.74	Facility		$658.73	$5,380.55	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.49 / $523.11 / $997.76	Professional		$387.49	$523.11	$997.76
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 $2,009.00 / $4,142.00 / $19,117.00	Facility		$2,009.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $618.51 / $1,072.78	Professional		$404.41	$618.51	$1,072.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.93 / $440.32 / $544.98	Facility		$366.93	$440.32	$544.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $403.62 / $403.62 / $488.75	Professional		$403.62	$403.62	$488.75
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 $366.93 / $571.13 / $964.59	Professional		$366.93	$571.13	$964.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11,023.83 / $11,023.83 / $19,042.68	Facility		$11,023.83	$11,023.83	$19,042.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.61 / $571.47 / $964.59	Professional		$380.61	$571.47	$964.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $360.47 / $478.40 / $636.13	Professional		$360.47	$478.40	$636.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,021.00 / $6,238.00	Facility		$2,647.00	$4,021.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.81 / $530.62 / $873.80	Professional		$383.81	$530.62	$873.80