Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.43 / $646.26 / $8,553.00	Facility		$134.43	$646.26	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.87 / $191.38 / $400.00	Professional		$122.87	$191.38	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $132.08 / $134.72	Professional		$132.08	$132.08	$134.72
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 $144.44 / $207.86 / $352.63	Professional		$144.44	$207.86	$352.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.19 / $122.74 / $142.47	Facility		$98.19	$122.74	$142.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.29 / $178.31 / $217.53	Professional		$145.29	$178.31	$217.53
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 $103.10 / $163.78 / $339.09	Professional		$103.10	$163.78	$339.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $463.72 / $488.19 / $868.84	Facility		$463.72	$488.19	$868.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $171.70 / $347.55	Professional		$105.69	$171.70	$347.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $150.57 / $205.58	Professional		$112.62	$150.57	$205.58
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 $123.66 / $187.58 / $299.54	Professional		$123.66	$187.58	$299.54