Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.31 / $3,072.00 / $9,504.00	Facility		$224.31	$3,072.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.46 / $208.41 / $372.42	Professional		$152.46	$208.41	$372.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $150.19 / $166.96	Professional		$150.19	$150.19	$166.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.32 / $205.39 / $350.30	Professional		$131.32	$205.39	$350.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $254.91 / $254.91	Facility		$175.07	$254.91	$254.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.45 / $242.94 / $242.94	Professional		$171.45	$242.94	$242.94
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 $165.42 / $242.25 / $407.77	Professional		$165.42	$242.25	$407.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,317.50 / $3,317.50 / $7,047.00	Facility		$3,317.50	$3,317.50	$7,047.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $171.54 / $263.45 / $394.76	Professional		$171.54	$263.45	$394.76
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 $174.60 / $247.37 / $467.71	Professional		$174.60	$247.37	$467.71