Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $1,000.00 / $9,504.00	Facility		$126.00	$1,000.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $129.01 / $246.20	Professional		$75.23	$129.01	$246.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $115.37 / $184.14	Professional		$94.82	$115.37	$184.14
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 $71.34 / $114.30 / $197.75	Professional		$71.34	$114.30	$197.75
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $153.06 / $159.18	Professional		$149.00	$153.06	$159.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $103.01 / $122.39	Facility		$82.41	$103.01	$122.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $182.86 / $223.08	Professional		$140.96	$182.86	$223.08
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 $78.70 / $135.44 / $238.69	Professional		$78.70	$135.44	$238.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $166.39 / $166.39 / $166.39	Facility		$166.39	$166.39	$166.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $143.93 / $223.49	Professional		$86.53	$143.93	$223.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
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 $101.06 / $153.28 / $284.83	Professional		$101.06	$153.28	$284.83