Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $490.53 / $4,975.00	Facility		$147.40	$490.53	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $129.68 / $265.29	Professional		$67.14	$129.68	$265.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $77.86 / $98.74	Professional		$59.05	$77.86	$98.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $108.49 / $194.59	Professional		$64.84	$108.49	$194.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $81.11 / $96.39	Facility		$64.89	$81.11	$96.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.78 / $151.01 / $262.63	Professional		$127.78	$151.01	$262.63
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 $77.13 / $138.30 / $247.07	Professional		$77.13	$138.30	$247.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $144.03 / $307.77 / $623.82	Facility		$144.03	$307.77	$623.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $145.19 / $240.00	Professional		$80.45	$145.19	$240.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $153.74 / $209.77	Professional		$112.90	$153.74	$209.77
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $150.51 / $254.28	Professional		$101.92	$150.51	$254.28