Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $61.23 / $11,581.00	Facility		$15.89	$61.23	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $18.80 / $35.24	Professional		$13.98	$18.80	$35.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $20.59 / $20.59	Professional		$17.30	$20.59	$20.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $19.35 / $34.35	Professional		$12.89	$19.35	$34.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $22.42 / $22.42	Facility		$15.41	$22.42	$22.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $18.88 / $19.76	Professional		$18.88	$18.88	$19.76
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 $14.24 / $21.45 / $34.95	Professional		$14.24	$21.45	$34.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $158.41 / $158.41 / $158.41	Facility		$158.41	$158.41	$158.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $22.27 / $35.70	Professional		$14.80	$22.27	$35.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.50 / $15.33	Professional		$9.77	$11.50	$15.33
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 $15.03 / $19.23 / $33.06	Professional		$15.03	$19.23	$33.06