Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.46 / $600.15 / $4,792.99	Facility		$154.46	$600.15	$4,792.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $149.72 / $259.04	Professional		$83.87	$149.72	$259.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $117.45 / $123.33	Professional		$103.64	$117.45	$123.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $123.06 / $218.41	Professional		$77.79	$123.06	$218.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.40 / $123.00 / $145.44	Facility		$98.40	$123.00	$145.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $186.54 / $227.57	Professional		$143.47	$186.54	$227.57
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 $100.44 / $151.46 / $249.09	Professional		$100.44	$151.46	$249.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $322.50 / $791.95 / $1,411.19	Facility		$322.50	$791.95	$1,411.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.32 / $152.52 / $237.50	Professional		$103.32	$152.52	$237.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $145.95 / $209.48	Professional		$108.45	$145.95	$209.48
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $148.26 / $252.32	Professional		$100.80	$148.26	$252.32