Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.58 / $3,453.22 / $10,635.00	Facility		$1,318.58	$3,453.22	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.57 / $1,023.03 / $1,999.99	Professional		$901.57	$1,023.03	$1,999.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,391.77 / $1,391.77 / $1,391.77	Professional		$1,391.77	$1,391.77	$1,391.77
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 $828.92 / $1,113.67 / $1,769.38	Professional		$828.92	$1,113.67	$1,769.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,192.94 / $1,192.94 / $1,192.94	Professional		$1,192.94	$1,192.94	$1,192.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $929.50 / $1,014.00 / $1,476.53	Facility		$929.50	$1,014.00	$1,476.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $980.47 / $1,093.53 / $1,391.77	Professional		$980.47	$1,093.53	$1,391.77
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 $1,002.35 / $1,399.14 / $1,954.91	Professional		$1,002.35	$1,399.14	$1,954.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,191.76 / $1,191.76 / $1,191.76	Facility		$1,191.76	$1,191.76	$1,191.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,043.83 / $1,441.48 / $1,921.14	Professional		$1,043.83	$1,441.48	$1,921.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $803.32 / $1,301.12	Professional		$104.14	$803.32	$1,301.12
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 $842.04 / $1,309.60 / $2,028.16	Professional		$842.04	$1,309.60	$2,028.16