Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.77 / $1,110.11 / $6,093.55	Facility		$155.77	$1,110.11	$6,093.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $130.69 / $236.70	Professional		$91.63	$130.69	$236.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Professional		$131.91	$131.91	$131.91
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 $85.28 / $121.19 / $204.96	Professional		$85.28	$121.19	$204.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $147.87 / $147.87	Facility		$101.56	$147.87	$147.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $142.25 / $142.25	Professional		$104.98	$142.25	$142.25
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 $93.59 / $146.35 / $235.46	Professional		$93.59	$146.35	$235.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $563.82 / $875.38 / $1,851.70	Facility		$563.82	$875.38	$1,851.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $151.36 / $235.46	Professional		$104.49	$151.36	$235.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
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 $105.50 / $143.28 / $235.99	Professional		$105.50	$143.28	$235.99