Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $1,839.00 / $8,956.00	Facility		$91.46	$1,839.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $91.46 / $157.81	Professional		$51.56	$91.46	$157.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $58.41 / $69.13	Professional		$58.41	$58.41	$69.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $84.02 / $148.81	Professional		$42.13	$84.02	$148.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $59.26 / $73.34	Facility		$49.38	$59.26	$73.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $94.18 / $111.31	Professional		$61.73	$94.18	$111.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $129.65 / $581.00	Facility		$88.42	$129.65	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $102.74 / $189.64	Professional		$56.18	$102.74	$189.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $129.65 / $577.00	Facility		$88.42	$129.65	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.76 / $103.69 / $195.43	Professional		$58.76	$103.69	$195.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $112.96 / $155.52	Professional		$83.85	$112.96	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $118.55 / $204.10	Professional		$85.17	$118.55	$204.10