Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.67 / $2,936.00 / $9,574.45	Facility		$738.67	$2,936.00	$9,574.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.34 / $738.67 / $1,265.05	Professional		$518.34	$738.67	$1,265.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $662.29 / $662.29 / $713.24	Professional		$662.29	$662.29	$713.24
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 $423.57 / $633.47 / $1,264.08	Professional		$423.57	$633.47	$1,264.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.30 / $811.95 / $1,289.18	Facility		$662.30	$811.95	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.50 / $842.35 / $1,314.06	Professional		$544.50	$842.35	$1,314.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.47 / $949.77 / $21,571.00	Facility		$915.47	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.89 / $774.97 / $1,420.13	Professional		$512.89	$774.97	$1,420.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $2,564.53	Facility		$949.77	$1,059.09	$2,564.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $534.92 / $817.24 / $1,229.31	Professional		$534.92	$817.24	$1,229.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $511.22 / $902.36	Professional		$76.18	$511.22	$902.36
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 $639.82 / $794.00 / $1,657.13	Professional		$639.82	$794.00	$1,657.13