Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $1,773.00 / $9,504.00	Facility		$85.08	$1,773.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $85.11 / $145.91	Professional		$60.79	$85.11	$145.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $92.71 / $102.64	Professional		$92.71	$92.71	$102.64
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 $56.22 / $83.92 / $143.88	Professional		$56.22	$83.92	$143.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.55 / $98.35 / $98.35	Facility		$67.55	$98.35	$98.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.61 / $100.72 / $100.72	Professional		$91.61	$100.72	$100.72
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 $64.89 / $100.72 / $166.29	Professional		$64.89	$100.72	$166.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $168.63 / $168.63 / $168.63	Facility		$168.63	$168.63	$168.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $103.98 / $160.79	Professional		$69.03	$103.98	$160.79
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 $76.15 / $100.46 / $171.59	Professional		$76.15	$100.46	$171.59