Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $3,401.00 / $8,817.44	Facility		$202.43	$3,401.00	$8,817.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $105.81 / $222.40	Professional		$95.74	$105.81	$222.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $77.06 / $77.06	Professional		$77.06	$77.06	$77.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $118.89 / $204.43	Professional		$95.35	$118.89	$204.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $109.75 / $135.84	Facility		$91.46	$109.75	$135.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.61 / $100.61 / $123.52	Professional		$100.61	$100.61	$123.52
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 $105.18 / $156.34 / $275.77	Professional		$105.18	$156.34	$275.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $730.68 / $1,537.50 / $5,801.29	Facility		$730.68	$1,537.50	$5,801.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $156.61 / $275.77	Professional		$109.75	$156.61	$275.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.52 / $118.36 / $159.68	Professional		$88.52	$118.36	$159.68
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 $101.85 / $149.78 / $239.34	Professional		$101.85	$149.78	$239.34