Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.69 / $1,207.69 / $2,883.00	Facility		$1,207.69	$1,207.69	$2,883.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,114.84 / $1,207.69 / $1,831.26	Professional		$1,114.84	$1,207.69	$1,831.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,522.30 / $1,953.95 / $1,953.95	Professional		$1,522.30	$1,953.95	$1,953.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,322.48 / $2,720.69 / $7,049.05	Facility		$2,322.48	$2,720.69	$7,049.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.58 / $1,317.91 / $3,215.35	Professional		$1,206.58	$1,317.91	$3,215.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,705.16 / $2,473.35 / $3,339.02	Facility		$1,705.16	$2,473.35	$3,339.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,607.68 / $2,226.02 / $5,295.94	Professional		$1,607.68	$2,226.02	$5,295.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $2,845.73	Facility		$1,599.98	$1,599.98	$2,845.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $2,043.97	Professional		$1,167.99	$1,167.99	$2,043.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,599.98 / $1,599.98	Professional		$1,167.99	$1,599.98	$1,599.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,282.41 / $1,763.32 / $2,311.71	Professional		$1,282.41	$1,763.32	$2,311.71
United Facility/Professional Professional Modifier Low / Median / High Price $822.62 / $1,233.93 / $1,670.08	Professional		$822.62	$1,233.93	$1,670.08