Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $411.00 / $1,803.10	Facility		$97.73	$411.00	$1,803.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $100.05 / $199.39	Professional		$56.56	$100.05	$199.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $85.70 / $107.33	Professional		$66.65	$85.70	$107.33
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 $83.28 / $132.08 / $224.75	Professional		$83.28	$132.08	$224.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $70.01 / $80.73	Facility		$56.01	$70.01	$80.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $142.05 / $173.29	Professional		$115.74	$142.05	$173.29
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 $54.56 / $109.74 / $193.88	Professional		$54.56	$109.74	$193.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $137.86 / $298.51 / $572.66	Facility		$137.86	$298.51	$572.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $112.76 / $197.99	Professional		$58.81	$112.76	$197.99
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 $92.77 / $122.13 / $195.42	Professional		$92.77	$122.13	$195.42