Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.26 / $3,023.00 / $9,504.00	Facility		$277.26	$3,023.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $170.08 / $283.54	Professional		$147.02	$170.08	$283.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $177.33 / $177.33	Professional		$74.23	$177.33	$177.33
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 $145.06 / $207.62 / $350.49	Professional		$145.06	$207.62	$350.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.77 / $177.32 / $219.48	Facility		$147.77	$177.32	$219.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $162.55 / $210.92	Professional		$162.55	$162.55	$210.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.03 / $885.00 / $1,309.85	Facility		$178.03	$885.00	$1,309.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $231.49 / $350.46	Professional		$159.25	$231.49	$350.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,637.59	Facility		$491.00	$885.00	$1,637.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $234.60 / $351.53	Professional		$159.25	$234.60	$351.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.77 / $193.01 / $260.45	Professional		$143.77	$193.01	$260.45
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 $140.19 / $193.03 / $329.60	Professional		$140.19	$193.03	$329.60