Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.35 / $2,218.00 / $9,504.00	Facility		$247.35	$2,218.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $341.84 / $822.34	Professional		$97.49	$341.84	$822.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $443.49 / $443.49	Professional		$443.49	$443.49	$443.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $198.49 / $817.15	Professional		$93.31	$198.49	$817.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $103.88 / $123.42	Facility		$84.77	$103.88	$123.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.74 / $476.82 / $541.84	Professional		$389.74	$476.82	$541.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $21,571.00	Facility		$149.37	$149.37	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $268.38 / $872.84	Professional		$99.36	$268.38	$872.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $497.73 / $1,191.69	Facility		$149.37	$497.73	$1,191.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $228.27 / $827.53	Professional		$99.72	$228.27	$827.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.92 / $506.38 / $708.77	Professional		$384.92	$506.38	$708.77
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $607.54 / $1,024.07	Professional		$142.12	$607.54	$1,024.07