Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.29 / $2,895.00 / $9,534.00	Facility		$528.29	$2,895.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.80 / $503.61 / $945.13	Professional		$325.80	$503.61	$945.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.18 / $432.18 / $487.69	Professional		$432.18	$432.18	$487.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $443.28 / $869.43	Professional		$314.79	$443.28	$869.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $452.86 / $555.17 / $1,289.18	Facility		$452.86	$555.17	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.93 / $602.66 / $940.16	Professional		$384.93	$602.66	$940.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.08 / $949.77 / $21,571.00	Facility		$625.08	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.57 / $535.91 / $953.74	Professional		$355.57	$535.91	$953.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $365.77 / $551.96 / $878.52	Professional		$365.77	$551.96	$878.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $363.55 / $610.53	Professional		$36.79	$363.55	$610.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.61 / $541.72 / $1,113.57	Professional		$449.61	$541.72	$1,113.57