Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,004.58 / $7,225.00 / $11,735.00	Facility		$2,004.58	$7,225.00	$11,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.17 / $1,477.25 / $2,900.64	Professional		$1,179.17	$1,477.25	$2,900.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,067.71 / $1,341.68 / $1,702.44	Professional		$1,067.71	$1,341.68	$1,702.44
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 $1,191.55 / $1,542.01 / $2,869.71	Professional		$1,191.55	$1,542.01	$2,869.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $1,233.18 / $1,233.18 / $1,233.18	Professional		$1,233.18	$1,233.18	$1,233.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,418.70 / $1,739.28 / $2,631.55	Facility		$1,418.70	$1,739.28	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,200.44 / $1,364.14 / $2,128.05	Professional		$1,200.44	$1,364.14	$2,128.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.51 / $1,938.72 / $21,571.00	Facility		$1,318.51	$1,938.72	$21,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.16 / $131.16 / $131.16	Facility	AS	$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.58 / $1,636.97 / $2,998.45	Professional		$983.58	$1,636.97	$2,998.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,938.72 / $7,181.32 / $10,812.81	Facility		$1,938.72	$7,181.32	$10,812.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $998.60 / $1,642.83 / $2,510.02	Professional		$998.60	$1,642.83	$2,510.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $851.16 / $1,416.43	Professional		$151.78	$851.16	$1,416.43
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 $1,063.44 / $1,503.49 / $2,571.96	Professional		$1,063.44	$1,503.49	$2,571.96