Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,154.67 / $7,234.00 / $11,735.00	Facility		$2,154.67	$7,234.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.86 / $1,221.56 / $2,032.67	Professional		$1,013.86	$1,221.56	$2,032.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $928.50 / $1,168.63 / $1,329.26	Professional		$928.50	$1,168.63	$1,329.26
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 $1,049.33 / $1,344.02 / $2,527.17	Professional		$1,049.33	$1,344.02	$2,527.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,234.31 / $1,513.22 / $2,631.55	Facility		$1,234.31	$1,513.22	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,044.42 / $1,186.83 / $1,851.47	Professional		$1,044.42	$1,186.83	$1,851.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.68 / $1,938.72 / $21,571.00	Facility		$1,147.68	$1,938.72	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.38 / $114.38 / $114.38	Facility	AS	$114.38	$114.38	$114.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.49 / $1,376.72 / $2,581.26	Professional		$856.49	$1,376.72	$2,581.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $1,938.72 / $2,161.90	Facility		$1,938.72	$1,938.72	$2,161.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $807.05 / $1,405.35 / $2,185.13	Professional		$807.05	$1,405.35	$2,185.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $752.53 / $1,263.02	Professional		$113.04	$752.53	$1,263.02
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 $956.23 / $1,261.85 / $2,232.67	Professional		$956.23	$1,261.85	$2,232.67