Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.65 / $3,374.00 / $8,386.90	Facility		$349.65	$3,374.00	$8,386.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.02 / $299.89 / $543.67	Professional		$226.02	$299.89	$543.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.54 / $264.54 / $264.54	Professional		$264.54	$264.54	$264.54
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 $173.28 / $258.02 / $456.45	Professional		$173.28	$258.02	$456.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.45 / $264.54 / $327.43	Facility		$220.45	$264.54	$327.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.36 / $303.75 / $303.75	Professional		$250.36	$303.75	$303.75
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 $226.19 / $343.27 / $538.80	Professional		$226.19	$343.27	$538.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,597.52 / $3,101.56 / $7,990.50	Facility		$1,597.52	$3,101.56	$7,990.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $242.49 / $346.25 / $542.64	Professional		$242.49	$346.25	$542.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.42 / $324.33 / $462.41	Professional		$229.42	$324.33	$462.41
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 $244.59 / $345.42 / $611.86	Professional		$244.59	$345.42	$611.86