Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.41 / $4,947.00 / $11,243.00	Facility		$1,510.41	$4,947.00	$11,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $949.31 / $1,764.00	Professional		$779.01	$949.31	$1,764.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $801.96 / $1,011.40 / $1,148.57	Professional		$801.96	$1,011.40	$1,148.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,437.00 / $19,117.00	Facility		$2,084.00	$4,437.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $1,002.91 / $1,710.89	Professional		$710.39	$1,002.91	$1,710.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,066.53 / $1,307.54 / $2,631.55	Facility		$1,066.53	$1,307.54	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $902.45 / $1,025.51 / $1,599.80	Professional		$902.45	$1,025.51	$1,599.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $992.47 / $1,938.72 / $21,571.00	Facility		$992.47	$1,938.72	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.43 / $1,148.57 / $1,856.97	Professional		$741.43	$1,148.57	$1,856.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $2,573.37 / $8,988.31	Facility		$1,938.72	$2,573.37	$8,988.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $659.05 / $1,148.57 / $1,669.86	Professional		$659.05	$1,148.57	$1,669.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $634.91 / $1,063.64	Professional		$76.37	$634.91	$1,063.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $6,231.00 / $10,075.00	Facility		$2,912.00	$6,231.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.76 / $990.41 / $1,922.86	Professional		$798.76	$990.41	$1,922.86