Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.24 / $1,417.86 / $2,091.46	Facility		$543.24	$1,417.86	$2,091.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $831.33 / $1,139.97	Professional		$479.76	$831.33	$1,139.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $835.35 / $835.35 / $835.35	Professional		$835.35	$835.35	$835.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,151.39 / $1,434.35 / $2,307.60	Facility		$1,151.39	$1,434.35	$2,307.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $357.46 / $1,309.56	Professional		$335.33	$357.46	$1,309.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,108.35 / $1,434.35 / $1,936.71	Facility		$1,108.35	$1,434.35	$1,936.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $847.57 / $1,695.14 / $2,792.02	Professional		$847.57	$1,695.14	$2,792.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.31 / $699.15 / $2,574.76	Facility		$446.31	$699.15	$2,574.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.24 / $593.91 / $1,872.96	Professional		$345.24	$593.91	$1,872.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.38 / $699.15 / $2,626.17	Facility		$441.38	$699.15	$2,626.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $441.38 / $1,642.45	Professional		$85.59	$441.38	$1,642.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $977.96 / $1,124.65 / $1,564.73	Professional		$977.96	$1,124.65	$1,564.73
United Facility/Professional Facility Modifier Low / Median / High Price $814.86 / $814.86 / $814.86	Facility		$814.86	$814.86	$814.86
United Facility/Professional Professional Modifier Low / Median / High Price $285.20 / $415.58 / $1,236.55	Professional		$285.20	$415.58	$1,236.55