Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.75 / $6,367.43 / $11,561.00	Facility		$1,894.75	$6,367.43	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,216.64 / $2,001.23	Professional		$1,072.81	$1,216.64	$2,001.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,024.72 / $1,030.69 / $1,361.67	Professional		$1,024.72	$1,030.69	$1,361.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.62 / $1,343.72 / $2,371.34	Professional		$984.62	$1,343.72	$2,371.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,361.67 / $1,669.37 / $2,631.55	Facility		$1,361.67	$1,669.37	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,033.49 / $1,309.30 / $2,042.51	Professional		$1,033.49	$1,309.30	$2,042.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,938.72 / $21,571.00	Facility		$1,266.49	$1,938.72	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.94 / $1,518.79 / $2,422.05	Professional		$944.94	$1,518.79	$2,422.05
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 $960.95 / $1,540.92 / $2,173.92	Professional		$960.95	$1,540.92	$2,173.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $787.12 / $1,342.64	Professional		$151.78	$787.12	$1,342.64
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 $998.21 / $1,291.80 / $2,567.42	Professional		$998.21	$1,291.80	$2,567.42