Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.57 / $5,135.00 / $10,817.74	Facility		$1,365.57	$5,135.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.41 / $918.34 / $1,777.59	Professional		$821.41	$918.34	$1,777.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.33 / $425.33 / $425.33	Professional		$425.33	$425.33	$425.33
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 $706.94 / $945.62 / $1,702.57	Professional		$706.94	$945.62	$1,702.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,105.84 / $1,355.73 / $1,658.78	Facility		$1,105.84	$1,355.73	$1,658.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $935.72 / $1,063.31 / $1,658.78	Professional		$935.72	$1,063.31	$1,658.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,026.32 / $21,571.00	Facility		$949.77	$1,026.32	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.97 / $1,190.92 / $1,882.38	Professional		$764.97	$1,190.92	$1,882.38
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 $776.96 / $1,190.92 / $1,757.26	Professional		$776.96	$1,190.92	$1,757.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $659.77 / $1,109.19	Professional		$76.18	$659.77	$1,109.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,724.49 / $3,365.00 / $6,238.00	Facility		$1,724.49	$3,365.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $806.07 / $1,020.78 / $2,134.44	Professional		$806.07	$1,020.78	$2,134.44