Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $1,866.00 / $9,504.00	Facility		$134.06	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $131.43 / $246.99	Professional		$37.75	$131.43	$246.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $53.16 / $160.36	Professional		$53.16	$53.16	$160.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $47.46 / $86.51	Professional		$35.06	$47.46	$86.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $52.59 / $70.15 / $129.77	Professional	50	$52.59	$70.15	$129.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $47.46 / $56.39	Facility		$38.72	$47.46	$56.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $169.81 / $192.96	Professional		$162.84	$169.81	$192.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $21,571.00	Facility		$68.48	$68.48	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $154.37 / $302.00	Professional		$44.42	$154.37	$302.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $160.04	Facility		$68.48	$68.48	$160.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $154.37 / $290.58	Professional		$45.19	$154.37	$290.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $180.44 / $254.04	Professional		$134.52	$180.44	$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 $143.05 / $195.96 / $393.58	Professional		$143.05	$195.96	$393.58