Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,958.85 / $4,211.53 / $6,121.40	Facility		$1,958.85	$4,211.53	$6,121.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,713.99 / $1,958.85 / $3,534.74	Professional		$1,713.99	$1,958.85	$3,534.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,469.14 / $1,469.14 / $1,469.14	Professional		$1,469.14	$1,469.14	$1,469.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,162.08 / $2,644.44 / $4,333.22	Facility		$2,162.08	$2,644.44	$4,333.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,273.24 / $3,661.16	Professional		$979.42	$1,273.24	$3,661.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,060.70 / $3,672.84	Facility		$2,448.56	$3,060.70	$3,672.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,183.13 / $3,305.56 / $5,876.54	Professional		$3,183.13	$3,305.56	$5,876.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,519.44 / $2,785.23 / $13,973.90	Facility		$2,519.44	$2,785.23	$13,973.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.54 / $1,814.59 / $4,743.47	Professional		$1,116.54	$1,814.59	$4,743.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,519.44 / $2,785.23 / $13,973.90	Facility		$2,519.44	$2,785.23	$13,973.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,116.54 / $1,432.41 / $4,743.47	Professional		$1,116.54	$1,432.41	$4,743.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,928.24 / $2,203.70 / $3,030.09	Professional		$1,928.24	$2,203.70	$3,030.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $2,938.27 / $2,938.27	Facility		$2,938.27	$2,938.27	$2,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $3,949.53	Professional		$1,028.40	$1,469.14	$3,949.53