Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.54 / $403.26 / $1,904.00	Facility		$89.54	$403.26	$1,904.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $106.79 / $232.96	Professional		$53.37	$106.79	$232.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $46.96 / $89.95	Professional		$46.96	$46.96	$89.95
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 $81.81 / $129.55 / $214.14	Professional		$81.81	$129.55	$214.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $66.40 / $76.56	Facility		$53.12	$66.40	$76.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.49 / $139.35 / $169.99	Professional		$110.49	$139.35	$169.99
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 $57.17 / $108.38 / $194.62	Professional		$57.17	$108.38	$194.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.03 / $267.20 / $620.92	Facility		$153.03	$267.20	$620.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $108.38 / $194.62	Professional		$57.54	$108.38	$194.62
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 $92.49 / $129.00 / $202.58	Professional		$92.49	$129.00	$202.58