Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.84 / $1,188.16 / $3,847.00	Facility		$71.84	$1,188.16	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $58.23 / $127.76	Professional		$43.42	$58.23	$127.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $59.13 / $65.65	Professional		$54.79	$59.13	$65.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $60.86 / $100.85	Professional		$43.22	$60.86	$100.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.89 / $58.61 / $69.65	Facility		$46.89	$58.61	$69.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $73.22 / $130.25	Professional		$61.95	$73.22	$130.25
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 $52.03 / $75.81 / $118.14	Professional		$52.03	$75.81	$118.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.84 / $622.27 / $1,711.80	Facility		$363.84	$622.27	$1,711.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $77.90 / $118.37	Professional		$56.26	$77.90	$118.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $78.33 / $105.09	Professional		$57.79	$78.33	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $79.84 / $121.01	Professional		$53.01	$79.84	$121.01