Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $6,434.30 / $11,243.00	Facility		$1,079.00	$6,434.30	$11,243.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $362.81 / $539.50 / $1,204.03	Facility	52	$362.81	$539.50	$1,204.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.62 / $924.18 / $1,592.42	Professional		$725.62	$924.18	$1,592.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,565.27 / $1,565.27 / $1,565.27	Professional		$1,565.27	$1,565.27	$1,565.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.37 / $897.03 / $1,562.40	Professional		$640.37	$897.03	$1,562.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.32 / $825.98 / $1,022.34	Facility		$688.32	$825.98	$1,022.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $757.15 / $757.15 / $885.70	Professional		$757.15	$757.15	$885.70
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 $583.48 / $1,038.68 / $1,540.74	Professional		$583.48	$1,038.68	$1,540.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,790.92 / $7,804.67 / $17,893.59	Facility		$3,790.92	$7,804.67	$17,893.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $649.61 / $1,056.58 / $1,540.74	Professional		$649.61	$1,056.58	$1,540.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.89 / $707.53 / $1,008.12	Professional		$75.89	$707.53	$1,008.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $711.30 / $949.61 / $1,616.80	Professional		$711.30	$949.61	$1,616.80