Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $1,381.00 / $9,504.00	Facility		$60.01	$1,381.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $65.25 / $114.71	Professional		$42.02	$65.25	$114.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.79 / $58.66 / $90.24	Professional		$54.79	$58.66	$90.24
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 $37.84 / $57.32 / $100.35	Professional		$37.84	$57.32	$100.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $52.95 / $62.79	Facility		$42.36	$52.95	$62.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $87.02 / $106.16	Professional		$66.84	$87.02	$106.16
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 $41.51 / $68.98 / $115.91	Professional		$41.51	$68.98	$115.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.18 / $284.20 / $624.37	Facility		$166.18	$284.20	$624.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $71.26 / $111.17	Professional		$44.48	$71.26	$111.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.66 / $71.09 / $118.90	Professional		$53.66	$71.09	$118.90