Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.86 / $2,547.00 / $10,635.00	Facility		$683.86	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.55 / $459.89 / $1,041.68	Professional		$346.55	$459.89	$1,041.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $208.12	Professional		$208.12	$208.12	$208.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,412.00 / $8,800.00	Facility		$1,145.00	$2,412.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.42 / $390.88 / $699.88	Professional		$286.42	$390.88	$699.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.66 / $666.51 / $1,525.80	Facility		$543.66	$666.51	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $522.75 / $815.49	Professional		$343.63	$522.75	$815.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $522.32 / $1,124.08 / $21,571.00	Facility		$522.32	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.06 / $535.14 / $901.05	Professional		$370.06	$535.14	$901.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $353.57 / $573.54 / $767.40	Professional		$353.57	$573.54	$767.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $331.33 / $548.83	Professional		$36.79	$331.33	$548.83
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,398.00	Facility		$444.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.08 / $442.58 / $908.87	Professional		$357.08	$442.58	$908.87