Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.45 / $2,664.00 / $9,516.00	Facility		$307.45	$2,664.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.34 / $330.44 / $732.04	Professional		$166.34	$330.44	$732.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $199.24 / $199.24	Professional		$147.60	$199.24	$199.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.61 / $239.97 / $518.23	Professional		$166.61	$239.97	$518.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $191.27 / $236.74	Facility		$159.38	$191.27	$236.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $439.19 / $519.04	Professional		$199.24	$439.19	$519.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $885.00 / $1,758.30	Facility		$286.80	$885.00	$1,758.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $333.28 / $736.59	Professional		$180.03	$333.28	$736.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,581.74	Facility		$491.00	$885.00	$1,581.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $333.28 / $732.68	Professional		$185.00	$333.28	$732.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $351.43 / $484.74 / $675.26	Professional		$351.43	$484.74	$675.26
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $465.16 / $850.27	Professional		$217.99	$465.16	$850.27