Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.21 / $8,399.00 / $11,581.00	Facility		$2,052.21	$8,399.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.67 / $1,380.10 / $4,442.72	Professional		$1,194.67	$1,380.10	$4,442.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,785.13 / $1,785.13 / $1,785.13	Professional		$1,785.13	$1,785.13	$1,785.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.21 / $1,323.53 / $2,511.27	Professional		$1,033.21	$1,323.53	$2,511.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,657.62 / $2,032.17 / $2,486.42	Facility		$1,657.62	$2,032.17	$2,486.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,058.86 / $1,593.86 / $2,486.42	Professional		$1,058.86	$1,593.86	$2,486.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,543.54 / $21,571.00	Facility		$1,469.12	$1,543.54	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.89 / $1,769.17 / $2,909.85	Professional		$1,150.89	$1,769.17	$2,909.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,638.24 / $3,979.10	Facility		$1,469.12	$1,638.24	$3,979.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,165.44 / $1,769.17 / $2,585.92	Professional		$1,165.44	$1,769.17	$2,585.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.74 / $956.27 / $1,638.40	Professional		$152.74	$956.27	$1,638.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,460.00 / $7,847.00	Facility		$2,155.00	$5,460.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,180.50 / $1,564.52 / $3,113.79	Professional		$1,180.50	$1,564.52	$3,113.79