Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.61 / $2,565.00 / $8,103.09	Facility		$228.61	$2,565.00	$8,103.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.60 / $262.85 / $517.80	Professional		$128.60	$262.85	$517.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.88 / $55.88 / $61.41	Professional		$55.88	$55.88	$61.41
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 $144.72 / $269.48 / $461.31	Professional		$144.72	$269.48	$461.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.81 / $147.37 / $182.40	Facility		$122.81	$147.37	$182.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.32 / $274.47 / $274.47	Professional		$204.32	$274.47	$274.47
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 $147.38 / $268.37 / $496.74	Professional		$147.38	$268.37	$496.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $603.72 / $1,416.97 / $2,805.59	Facility		$603.72	$1,416.97	$2,805.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.52 / $268.45 / $503.69	Professional		$153.52	$268.45	$503.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $310.54 / $419.30	Professional		$228.49	$310.54	$419.30
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 $248.98 / $342.28 / $571.60	Professional		$248.98	$342.28	$571.60