Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.79 / $2,988.26 / $8,553.00	Facility		$458.79	$2,988.26	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.99 / $407.58 / $744.69	Professional		$256.99	$407.58	$744.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $288.91 / $312.99	Professional		$219.09	$288.91	$312.99
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 $205.25 / $295.11 / $504.18	Professional		$205.25	$295.11	$504.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.76 / $288.91 / $357.59	Facility		$240.76	$288.91	$357.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $286.22 / $309.24 / $309.24	Professional		$286.22	$309.24	$309.24
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 $247.06 / $360.74 / $549.03	Professional		$247.06	$360.74	$549.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,455.75 / $3,768.37 / $8,496.81	Facility		$1,455.75	$3,768.37	$8,496.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $262.11 / $366.87 / $552.29	Professional		$262.11	$366.87	$552.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.30 / $250.50 / $423.71	Professional		$38.30	$250.50	$423.71
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 $253.69 / $339.40 / $596.10	Professional		$253.69	$339.40	$596.10