Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.30 / $2,816.00 / $9,672.59	Facility		$247.30	$2,816.00	$9,672.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.13 / $224.81 / $409.32	Professional		$189.13	$224.81	$409.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.73 / $270.73 / $270.73	Professional		$270.73	$270.73	$270.73
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 $111.57 / $167.83 / $299.77	Professional		$111.57	$167.83	$299.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $184.98 / $201.79 / $293.85	Facility		$184.98	$201.79	$293.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $241.93 / $241.93 / $307.92	Professional		$241.93	$241.93	$307.92
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 $208.22 / $300.54 / $421.27	Professional		$208.22	$300.54	$421.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $355.82 / $355.82 / $1,508.81	Facility		$355.82	$355.82	$1,508.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.35 / $303.68 / $422.66	Professional		$208.35	$303.68	$422.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $176.06 / $284.73	Professional		$63.99	$176.06	$284.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,383.00 / $7,351.00	Facility		$2,647.00	$4,383.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.83 / $277.60 / $465.02	Professional		$180.83	$277.60	$465.02