Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.75 / $1,883.00 / $8,553.00	Facility		$152.75	$1,883.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $154.19 / $312.75	Professional		$69.29	$154.19	$312.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $57.19 / $57.19	Professional		$57.19	$57.19	$57.19
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 $64.23 / $151.61 / $305.38	Professional		$64.23	$151.61	$305.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $83.34 / $121.34	Facility		$76.40	$83.34	$121.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.11 / $226.34 / $288.06	Professional		$176.11	$226.34	$288.06
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 $91.92 / $180.00 / $344.54	Professional		$91.92	$180.00	$344.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $1,423.88 / $1,970.53	Facility		$147.60	$1,423.88	$1,970.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $181.92 / $351.14	Professional		$94.46	$181.92	$351.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.42 / $244.92 / $349.85	Professional		$182.42	$244.92	$349.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.76 / $255.59 / $470.62	Professional		$162.76	$255.59	$470.62