Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.67 / $4,044.00 / $10,268.00	Facility		$580.67	$4,044.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.27 / $561.44 / $1,011.43	Professional		$400.27	$561.44	$1,011.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Professional		$510.00	$510.00	$510.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.79 / $542.35 / $1,019.01	Professional		$394.79	$542.35	$1,019.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $592.17 / $813.53 / $1,528.51	Professional	50	$592.17	$813.53	$1,528.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $472.16 / $472.16 / $472.16	Professional		$472.16	$472.16	$472.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.19 / $665.94 / $1,289.18	Facility		$543.19	$665.94	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $461.71 / $667.43 / $1,041.18	Professional		$461.71	$667.43	$1,041.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.72 / $949.77 / $21,571.00	Facility		$750.72	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.99 / $633.84 / $1,119.06	Professional		$423.99	$633.84	$1,119.06
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 $430.36 / $663.51 / $964.74	Professional		$430.36	$663.51	$964.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $408.04 / $719.45	Professional		$75.13	$408.04	$719.45
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 $501.63 / $619.58 / $1,234.04	Professional		$501.63	$619.58	$1,234.04