Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.79 / $3,027.00 / $9,504.00	Facility		$242.79	$3,027.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.72 / $242.79 / $434.59	Professional		$157.72	$242.79	$434.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.19 / $211.19 / $211.19	Professional		$211.19	$211.19	$211.19
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 $142.79 / $224.33 / $388.04	Professional		$142.79	$224.33	$388.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $181.02 / $224.06	Facility		$150.85	$181.02	$224.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $196.45 / $252.80 / $252.80	Professional		$196.45	$252.80	$252.80
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 $176.49 / $280.38 / $449.81	Professional		$176.49	$280.38	$449.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $903.97 / $903.97 / $5,745.60	Facility		$903.97	$903.97	$5,745.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $289.02 / $456.00	Professional		$186.91	$289.02	$456.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $273.31 / $364.42	Professional		$200.94	$273.31	$364.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.85 / $305.10 / $536.44	Professional		$212.85	$305.10	$536.44