Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,450.81 / $5,931.00 / $11,561.00	Facility		$1,450.81	$5,931.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $975.66 / $1,867.06	Professional		$750.15	$975.66	$1,867.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $921.22 / $921.22 / $921.22	Professional		$921.22	$921.22	$921.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,897.00 / $8,800.00	Facility		$1,152.00	$2,897.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $633.04 / $893.72 / $1,524.64	Professional		$633.04	$893.72	$1,524.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.70 / $1,416.84 / $1,733.55	Facility		$1,155.70	$1,416.84	$1,733.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $816.22 / $1,111.25 / $1,733.55	Professional		$816.22	$1,111.25	$1,733.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $21,571.00	Facility		$949.77	$1,059.09	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.79 / $1,155.70 / $1,924.41	Professional		$804.79	$1,155.70	$1,924.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $761.82 / $1,219.32 / $1,675.38	Professional		$761.82	$1,219.32	$1,675.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $697.52 / $1,180.47	Professional		$112.96	$697.52	$1,180.47
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 $776.56 / $984.95 / $2,105.60	Professional		$776.56	$984.95	$2,105.60