Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.98 / $1,828.30 / $4,221.00	Facility		$587.98	$1,828.30	$4,221.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $260.31	Professional		$45.89	$127.09	$260.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $337.84 / $337.84 / $337.84	Professional		$337.84	$337.84	$337.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.95 / $512.25 / $781.63	Professional		$437.95	$512.25	$781.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,794.39 / $12,794.39 / $15,902.08	Facility		$12,794.39	$12,794.39	$15,902.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $626.20 / $1,252.79 / $2,239.33	Facility		$626.20	$1,252.79	$2,239.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $122.50 / $122.50	Professional		$122.50	$122.50	$122.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00