Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.78 / $1,482.78 / $3,241.00	Facility		$1,482.78	$1,482.78	$3,241.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.72 / $1,482.78 / $1,941.80	Professional		$1,132.72	$1,482.78	$1,941.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,399.02 / $2,399.02 / $2,399.02	Professional		$2,399.02	$2,399.02	$2,399.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.49 / $3,340.40 / $8,654.68	Facility		$2,851.49	$3,340.40	$8,654.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.39 / $1,481.42 / $3,947.74	Professional		$1,387.39	$1,481.42	$3,947.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,963.49 / $3,036.73 / $4,099.59	Facility		$1,963.49	$3,036.73	$4,099.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,973.87 / $2,733.06 / $6,502.25	Professional		$1,973.87	$2,733.06	$6,502.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $2,988.26	Facility		$1,964.43	$1,964.43	$2,988.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $2,524.98	Professional		$1,434.03	$1,434.03	$2,524.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,964.43 / $1,964.43 / $1,964.43	Facility		$1,964.43	$1,964.43	$1,964.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $1,964.43	Professional		$1,434.03	$1,964.43	$1,964.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,641.75 / $2,257.40 / $2,959.46	Professional		$1,641.75	$2,257.40	$2,959.46
United Facility/Professional Professional Modifier Low / Median / High Price $960.36 / $1,514.99 / $1,927.61	Professional		$960.36	$1,514.99	$1,927.61