Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.93 / $3,278.00 / $10,268.00	Facility		$987.93	$3,278.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $738.92 / $1,400.94	Professional		$634.70	$738.92	$1,400.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $496.55 / $496.55 / $496.55	Professional		$496.55	$496.55	$496.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,003.00 / $4,142.00 / $19,117.00	Facility		$2,003.00	$4,142.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.66 / $763.76 / $1,215.85	Professional		$554.66	$763.76	$1,215.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $663.26 / $851.23 / $1,130.55	Facility		$663.26	$851.23	$1,130.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $780.30 / $993.10 / $127,498.73	Professional		$780.30	$993.10	$127,498.73
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 $712.72 / $993.10 / $1,369.91	Professional		$712.72	$993.10	$1,369.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $847.01 / $847.01 / $847.01	Facility		$847.01	$847.01	$847.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $744.83 / $1,020.22 / $1,357.65	Professional		$744.83	$1,020.22	$1,357.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $644.05 / $974.46	Professional		$67.21	$644.05	$974.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,231.00 / $10,075.00	Facility		$3,206.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $931.61 / $1,383.98	Professional		$587.29	$931.61	$1,383.98