Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.89 / $2,422.92 / $7,680.60	Facility		$837.89	$2,422.92	$7,680.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.58 / $837.89 / $1,016.53	Professional		$753.58	$837.89	$1,016.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $755.32 / $755.32 / $830.64	Professional		$755.32	$755.32	$830.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.91 / $826.34 / $1,345.00	Professional		$572.91	$826.34	$1,345.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $814.82 / $933.36 / $1,210.22	Facility		$814.82	$933.36	$1,210.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $896.30 / $896.30 / $1,140.75	Professional		$896.30	$896.30	$1,140.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $995.05 / $995.05	Facility		$995.05	$995.05	$995.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.72 / $1,131.15 / $2,621.97	Professional		$843.72	$1,131.15	$2,621.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $901.55 / $1,529.22 / $7,042.55	Facility		$901.55	$1,529.22	$7,042.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $855.56 / $1,100.01 / $1,517.16	Professional		$855.56	$1,100.01	$1,517.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $727.93 / $1,089.95 / $1,557.08	Professional		$727.93	$1,089.95	$1,557.08
United Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $912.50 / $1,325.63	Professional		$562.50	$912.50	$1,325.63