Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $946.48 / $8,553.00	Facility		$86.27	$946.48	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.13 / $130.62 / $242.34	Professional		$52.13	$130.62	$242.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $126.20 / $139.27	Professional		$126.20	$126.20	$139.27
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 $51.82 / $119.50 / $215.68	Professional		$51.82	$119.50	$215.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.29 / $79.05 / $79.05	Facility		$54.29	$79.05	$79.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $152.55 / $152.55	Professional		$115.03	$152.55	$152.55
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 $52.16 / $124.26 / $255.01	Professional		$52.16	$124.26	$255.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $509.19 / $509.19 / $509.19	Facility		$509.19	$509.19	$509.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $129.66 / $255.01	Professional		$54.46	$129.66	$255.01
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 $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $155.91 / $254.96	Professional		$122.30	$155.91	$254.96