Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.85 / $2,958.12 / $8,398.59	Facility		$262.85	$2,958.12	$8,398.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.37 / $315.60 / $585.52	Professional		$150.37	$315.60	$585.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.79 / $616.79 / $616.79	Professional		$616.79	$616.79	$616.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.32 / $282.92 / $542.74	Professional		$143.32	$282.92	$542.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.04 / $171.65 / $212.46	Facility		$143.04	$171.65	$212.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $242.58 / $307.75 / $307.75	Professional		$242.58	$307.75	$307.75
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 $164.50 / $307.12 / $576.04	Professional		$164.50	$307.12	$576.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,402.41 / $2,166.76 / $4,143.82	Facility		$1,402.41	$2,166.76	$4,143.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.09 / $307.75 / $578.00	Professional		$165.09	$307.75	$578.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $346.43 / $471.45	Professional		$256.04	$346.43	$471.45
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 $287.01 / $396.15 / $681.48	Professional		$287.01	$396.15	$681.48