Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.41 / $2,590.48 / $11,581.00	Facility		$879.41	$2,590.48	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.15 / $879.41 / $1,508.18	Professional		$678.15	$879.41	$1,508.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,050.73 / $1,050.73 / $1,050.73	Professional		$1,050.73	$1,050.73	$1,050.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,792.00 / $8,800.00	Facility		$1,152.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $809.22 / $1,517.02	Professional		$629.89	$809.22	$1,517.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $620.63 / $1,183.43 / $1,447.95	Facility		$620.63	$1,183.43	$1,447.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $790.27 / $1,010.31 / $1,576.10	Professional		$790.27	$1,010.31	$1,576.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.23 / $509.87 / $21,571.00	Facility		$457.23	$509.87	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.58 / $1,025.90 / $1,758.63	Professional		$732.58	$1,025.90	$1,758.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $457.23 / $457.23 / $509.87	Facility		$457.23	$457.23	$509.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $733.52 / $1,039.56 / $1,648.78	Professional		$733.52	$1,039.56	$1,648.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $636.48 / $1,068.12	Professional		$112.72	$636.48	$1,068.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.32 / $933.40 / $1,885.15	Professional		$728.32	$933.40	$1,885.15