Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.79 / $10,523.00 / $50,818.14	Facility		$1,693.79	$10,523.00	$50,818.14
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $199.27 / $336.60 / $690.33	Facility	53	$199.27	$336.60	$690.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.69 / $1,102.35 / $3,451.63	Professional		$935.69	$1,102.35	$3,451.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $766.69 / $1,056.98 / $1,233.15	Professional		$766.69	$1,056.98	$1,233.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $10,766.00 / $60,320.00	Facility		$3,185.00	$10,766.00	$60,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.12 / $1,145.06 / $1,879.52	Professional		$933.12	$1,145.06	$1,879.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $880.82 / $1,101.03 / $1,308.24	Facility		$880.82	$1,101.03	$1,308.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $968.90 / $1,145.07 / $2,102.55	Professional		$968.90	$1,145.07	$2,102.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44,298.00 / $44,298.00 / $44,298.00	Facility		$44,298.00	$44,298.00	$44,298.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.94 / $1,487.79 / $2,169.52	Professional		$1,012.94	$1,487.79	$2,169.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11,664.40 / $21,753.68 / $42,916.77	Facility		$11,664.40	$21,753.68	$42,916.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,056.98 / $1,465.49 / $2,169.52	Professional		$1,056.98	$1,465.49	$2,169.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $831.98 / $1,096.70 / $1,453.89	Professional		$831.98	$1,096.70	$1,453.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $11,766.00 / $22,108.00	Facility		$3,960.00	$11,766.00	$22,108.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.38 / $1,471.55 / $2,395.67	Professional		$1,118.38	$1,471.55	$2,395.67