Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.84 / $1,995.53 / $8,513.58	Facility		$99.84	$1,995.53	$8,513.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $167.35 / $383.07	Professional		$54.59	$167.35	$383.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $50.95 / $79.77	Professional		$50.95	$50.95	$79.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $164.10 / $376.35	Professional		$52.41	$164.10	$376.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $54.71 / $79.65	Facility		$50.15	$54.71	$79.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.24 / $210.38 / $267.75	Professional		$169.24	$210.38	$267.75
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 $63.82 / $122.36 / $364.23	Professional		$63.82	$122.36	$364.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $1,382.94 / $2,086.52	Facility		$96.71	$1,382.94	$2,086.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $125.87 / $363.37	Professional		$64.36	$125.87	$363.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $207.28 / $297.31	Professional		$154.93	$207.28	$297.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.09 / $285.62 / $441.56	Professional		$190.09	$285.62	$441.56