Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $439.85 / $2,292.00	Facility		$94.94	$439.85	$2,292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $90.42 / $212.28	Professional		$44.55	$90.42	$212.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $65.08 / $73.23	Professional		$64.61	$65.08	$73.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $122.01 / $206.71	Professional		$73.30	$122.01	$206.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.54 / $53.18 / $61.49	Facility		$42.54	$53.18	$61.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.77 / $116.30 / $141.88	Professional		$94.77	$116.30	$141.88
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 $41.65 / $90.00 / $171.43	Professional		$41.65	$90.00	$171.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $258.31 / $582.66	Facility		$153.55	$258.31	$582.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $90.12 / $183.71	Professional		$44.66	$90.12	$183.71
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 $74.48 / $106.20 / $179.21	Professional		$74.48	$106.20	$179.21