Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,112.29 / $2,914.94 / $5,387.66	Facility		$1,112.29	$2,914.94	$5,387.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $1,112.29 / $1,310.80	Professional		$991.03	$1,112.29	$1,310.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,018.73 / $1,018.73 / $1,040.86	Professional		$1,018.73	$1,018.73	$1,040.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.91 / $876.22 / $1,359.60	Professional		$572.91	$876.22	$1,359.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,081.66 / $1,239.00 / $1,606.54	Facility		$1,081.66	$1,239.00	$1,606.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,189.83 / $1,189.83 / $1,514.32	Professional		$1,189.83	$1,189.83	$1,514.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,320.91 / $1,320.91 / $1,320.91	Facility		$1,320.91	$1,320.91	$1,320.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.00 / $1,514.33 / $3,478.72	Professional		$1,120.00	$1,514.33	$3,478.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,320.91 / $3,844.42 / $8,675.87	Facility		$1,320.91	$3,844.42	$8,675.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,135.74 / $1,501.36 / $2,137.19	Professional		$1,135.74	$1,501.36	$2,137.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $970.06 / $970.06 / $1,141.25	Professional		$970.06	$970.06	$1,141.25
United Facility/Professional Professional Modifier Low / Median / High Price $955.73 / $1,440.61 / $2,486.02	Professional		$955.73	$1,440.61	$2,486.02