Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.61 / $1,773.00 / $8,956.00	Facility		$105.61	$1,773.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $148.72 / $283.92	Professional		$68.68	$148.72	$283.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $93.99 / $352.91	Professional		$67.50	$93.99	$352.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $83.32 / $150.71	Professional		$53.85	$83.32	$150.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $101.62 / $109.05	Facility		$69.79	$101.62	$109.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $215.55 / $336.26	Professional		$189.68	$215.55	$336.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $21,571.00	Facility		$123.68	$123.68	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $180.00 / $353.50	Professional		$78.68	$180.00	$353.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $194.09 / $411.23	Facility		$123.68	$194.09	$411.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $180.69 / $327.49	Professional		$79.04	$180.69	$327.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $182.27 / $254.04	Professional		$137.47	$182.27	$254.04
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.29 / $239.64 / $465.33	Professional		$169.29	$239.64	$465.33