Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.15 / $1,967.00 / $9,534.00	Facility		$68.15	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $68.15 / $113.28	Professional		$43.04	$68.15	$113.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $67.45	Professional		$67.45	$67.45	$67.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $68.30 / $120.56	Professional		$41.96	$68.30	$120.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $68.95 / $68.95	Facility		$47.36	$68.95	$68.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $81.54 / $81.54	Professional		$66.47	$81.54	$81.54
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 $45.45 / $77.84 / $134.26	Professional		$45.45	$77.84	$134.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $447.22 / $447.22 / $447.22	Facility		$447.22	$447.22	$447.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $81.55 / $134.26	Professional		$48.75	$81.55	$134.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
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 $62.14 / $82.29 / $133.72	Professional		$62.14	$82.29	$133.72