Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.47 / $3,999.00 / $10,268.00	Facility		$232.47	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $320.93 / $661.03	Professional		$136.34	$320.93	$661.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $172.95 / $172.95	Professional		$172.95	$172.95	$172.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.95 / $230.96 / $419.60	Professional		$172.95	$230.96	$419.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.39 / $135.69 / $197.61	Facility		$124.39	$135.69	$197.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $246.18 / $246.18 / $313.32	Professional		$246.18	$246.18	$313.32
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 $171.62 / $350.58 / $658.02	Professional		$171.62	$350.58	$658.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $240.69 / $240.69	Facility		$240.69	$240.69	$240.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $171.62 / $328.98 / $668.77	Professional		$171.62	$328.98	$668.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.41 / $248.19 / $354.60	Professional		$186.41	$248.19	$354.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.35 / $524.04 / $810.87	Professional		$322.35	$524.04	$810.87