Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.39 / $2,238.00 / $7,851.56	Facility		$345.39	$2,238.00	$7,851.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $324.76 / $710.29	Professional		$166.09	$324.76	$710.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $400.96 / $400.96 / $400.96	Professional		$400.96	$400.96	$400.96
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 $158.46 / $263.47 / $506.48	Professional		$158.46	$263.47	$506.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $191.27 / $236.74	Facility		$159.38	$191.27	$236.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $367.54 / $367.54	Professional		$311.85	$367.54	$367.54
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 $179.84 / $343.96 / $619.45	Professional		$179.84	$343.96	$619.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $663.57 / $1,944.12 / $6,128.85	Facility		$663.57	$1,944.12	$6,128.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $350.84 / $619.45	Professional		$185.30	$350.84	$619.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.59 / $385.20 / $524.37	Professional		$283.59	$385.20	$524.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,517.96 / $2,251.00 / $4,951.00	Facility		$1,517.96	$2,251.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $429.81 / $765.18	Professional		$316.20	$429.81	$765.18