Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.34 / $1,512.88 / $9,296.60	Facility		$367.34	$1,512.88	$9,296.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.99 / $403.79 / $710.44	Professional		$221.99	$403.79	$710.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $149.47 / $583.10	Professional		$149.47	$149.47	$583.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $4,072.00	Facility		$937.00	$2,059.00	$4,072.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $367.08 / $617.59	Professional		$235.62	$367.08	$617.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $436.76 / $436.76 / $436.76	Professional		$436.76	$436.76	$436.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $302.27 / $358.03	Facility		$241.82	$302.27	$358.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $521.79 / $636.54	Professional		$399.77	$521.79	$636.54
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 $253.91 / $418.00 / $703.73	Professional		$253.91	$418.00	$703.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $860.84 / $2,013.25	Facility		$89.90	$860.84	$2,013.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.91 / $405.84 / $651.02	Professional		$253.91	$405.84	$651.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $363.93 / $552.29	Professional		$33.13	$363.93	$552.29
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 $334.83 / $444.56 / $729.93	Professional		$334.83	$444.56	$729.93