Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.80 / $4,725.14 / $9,516.00	Facility		$331.80	$4,725.14	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $331.80 / $604.76	Professional		$178.35	$331.80	$604.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $209.08 / $380.23	Professional		$158.55	$209.08	$380.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $266.39 / $548.77	Professional		$166.77	$266.39	$548.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.24 / $209.09 / $258.80	Facility		$174.24	$209.09	$258.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $335.55 / $348.55 / $348.55	Professional		$335.55	$348.55	$348.55
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 $200.37 / $362.09 / $621.40	Professional		$200.37	$362.09	$621.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4,322.51 / $4,322.51 / $4,322.51	Facility		$4,322.51	$4,322.51	$4,322.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.50 / $365.79 / $640.37	Professional		$204.50	$365.79	$640.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.46 / $389.73 / $529.30	Professional		$287.46	$389.73	$529.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.37 / $432.73 / $738.05	Professional		$292.37	$432.73	$738.05