Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $938.12 / $3,847.00	Facility		$84.79	$938.12	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $84.79 / $174.23	Professional		$36.76	$84.79	$174.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $36.69 / $115.23	Professional		$18.34	$36.69	$115.23
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 $39.56 / $74.48 / $153.56	Professional		$39.56	$74.48	$153.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $48.38 / $59.88	Facility		$40.32	$48.38	$59.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $97.50 / $97.50	Professional		$89.64	$97.50	$97.50
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 $48.38 / $101.94 / $190.95	Professional		$48.38	$101.94	$190.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $356.79 / $660.60 / $1,850.07	Facility		$356.79	$660.60	$1,850.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $105.00 / $190.95	Professional		$50.39	$105.00	$190.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $134.69 / $214.69	Professional		$89.79	$134.69	$214.69