Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.16 / $3,671.00 / $9,098.40	Facility		$339.16	$3,671.00	$9,098.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $273.29 / $829.06	Professional		$192.15	$273.29	$829.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $910.97 / $910.97 / $910.97	Professional		$910.97	$910.97	$910.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.64 / $220.53 / $376.94	Professional		$164.64	$220.53	$376.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.06 / $224.47 / $277.83	Facility		$187.06	$224.47	$277.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.77 / $205.77 / $214.55	Professional		$205.77	$205.77	$214.55
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 $187.06 / $261.88 / $399.29	Professional		$187.06	$261.88	$399.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,643.33 / $2,095.26 / $5,041.08	Facility		$1,643.33	$2,095.26	$5,041.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $280.12 / $385.79	Professional		$189.65	$280.12	$385.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $197.08 / $264.50	Professional		$146.80	$197.08	$264.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.21 / $245.35 / $411.56	Professional		$178.21	$245.35	$411.56