Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $1,883.00 / $9,534.00	Facility		$127.18	$1,883.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $183.11 / $349.87	Professional		$71.79	$183.11	$349.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $76.33 / $152.74	Professional		$65.84	$76.33	$152.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $208.05 / $387.77	Professional		$90.89	$208.05	$387.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.54 / $89.83 / $124.77	Facility		$66.54	$89.83	$124.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.45 / $235.93 / $127,498.73	Professional		$170.45	$235.93	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $21,571.00	Facility		$75.00	$75.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $151.85 / $325.39	Professional		$78.00	$151.85	$325.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $3,644.70	Facility		$75.00	$75.00	$3,644.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $151.02 / $306.56	Professional		$79.84	$151.02	$306.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $146.81 / $203.88	Professional		$108.45	$146.81	$203.88
United Facility/Professional Facility Modifier Low / Median / High Price $254.23 / $1,017.00 / $4,132.00	Facility		$254.23	$1,017.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $252.17 / $400.28	Professional		$174.74	$252.17	$400.28