Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.97 / $1,943.00 / $6,582.00	Facility		$211.97	$1,943.00	$6,582.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $194.93 / $356.56	Professional		$142.55	$194.93	$356.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $94.18 / $144.88	Professional		$94.18	$94.18	$144.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $184.85 / $319.19	Professional		$113.27	$184.85	$319.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $231.29 / $231.29	Facility		$158.83	$231.29	$231.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $227.69 / $227.69	Professional		$164.33	$227.69	$227.69
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 $146.37 / $227.69 / $372.18	Professional		$146.37	$227.69	$372.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $950.15 / $1,392.09 / $2,950.05	Facility		$950.15	$1,392.09	$2,950.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $239.03 / $369.71	Professional		$155.72	$239.03	$369.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $200.82 / $289.48	Professional		$148.34	$200.82	$289.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $228.81 / $379.35	Professional		$158.04	$228.81	$379.35