Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.82 / $411.00 / $3,696.00	Facility		$89.82	$411.00	$3,696.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $100.20 / $209.14	Professional		$51.35	$100.20	$209.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $47.12 / $47.12	Professional		$47.12	$47.12	$47.12
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 $91.64 / $143.28 / $240.32	Professional		$91.64	$143.28	$240.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $69.30 / $79.34	Facility		$55.44	$69.30	$79.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $145.65 / $177.68	Professional		$118.68	$145.65	$177.68
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 $58.74 / $113.29 / $208.06	Professional		$58.74	$113.29	$208.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.03 / $231.97 / $768.00	Facility		$128.03	$231.97	$768.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $113.59 / $214.55	Professional		$60.98	$113.59	$214.55
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 $94.98 / $136.37 / $230.39	Professional		$94.98	$136.37	$230.39