Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.86 / $2,936.00 / $9,504.00	Facility		$397.86	$2,936.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.24 / $380.07 / $720.99	Professional		$274.24	$380.07	$720.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.17 / $247.17 / $380.27	Professional		$247.17	$247.17	$380.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,443.00 / $8,800.00	Facility		$1,145.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.22 / $448.17 / $823.70	Professional		$330.22	$448.17	$823.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.62 / $325.94 / $403.43	Facility		$271.62	$325.94	$403.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $412.23 / $412.23 / $414.59	Professional		$412.23	$412.23	$414.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.90 / $430.90 / $21,571.00	Facility		$430.90	$430.90	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $467.87 / $777.05	Professional		$285.20	$467.87	$777.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $430.90 / $6,726.50 / $9,708.08	Facility		$430.90	$6,726.50	$9,708.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $471.29 / $771.18	Professional		$298.77	$471.29	$771.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $468.29 / $624.39	Professional		$352.20	$468.29	$624.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $497.68 / $823.92	Professional		$330.46	$497.68	$823.92