Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $1,057.50 / $8,054.23	Facility		$108.71	$1,057.50	$8,054.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $131.37 / $264.85	Professional		$82.06	$131.37	$264.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $102.30 / $143.22	Professional		$70.38	$102.30	$143.22
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 $83.06 / $127.87 / $227.29	Professional		$83.06	$127.87	$227.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.00 / $86.25 / $100.29	Facility		$69.00	$86.25	$100.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $138.11 / $168.47	Professional		$112.53	$138.11	$168.47
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 $74.90 / $122.76 / $232.71	Professional		$74.90	$122.76	$232.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $273.02 / $337.80 / $460.58	Facility		$273.02	$337.80	$460.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $127.88 / $234.06	Professional		$75.91	$127.88	$234.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
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 $97.01 / $140.44 / $223.21	Professional		$97.01	$140.44	$223.21