Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.77 / $2,849.00 / $10,268.00	Facility		$435.77	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.16 / $435.77 / $1,026.01	Professional		$371.16	$435.77	$1,026.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.63 / $443.63 / $443.63	Professional		$443.63	$443.63	$443.63
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 $318.18 / $423.44 / $766.30	Professional		$318.18	$423.44	$766.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.19 / $572.76 / $1,289.18	Facility		$467.19	$572.76	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $501.90 / $782.97	Professional		$397.11	$501.90	$782.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $949.77 / $21,571.00	Facility		$646.05	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.64 / $513.25 / $868.81	Professional		$357.64	$513.25	$868.81
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 $357.64 / $521.10 / $767.56	Professional		$357.64	$521.10	$767.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $304.06 / $517.38	Professional		$75.13	$304.06	$517.38
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 $370.16 / $462.80 / $936.88	Professional		$370.16	$462.80	$936.88