Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $2,113.00 / $9,496.00	Facility		$83.97	$2,113.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $104.26 / $209.29	Professional		$47.02	$104.26	$209.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $106.61 / $123.01	Professional		$106.61	$106.61	$123.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,750.00 / $3,943.00	Facility		$711.00	$1,750.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $64.83 / $145.93	Professional		$27.52	$64.83	$145.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $55.01 / $68.09	Facility		$45.84	$55.01	$68.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $128.87 / $152.30	Professional		$57.30	$128.87	$152.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $194.15 / $581.00	Facility		$82.34	$194.15	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.13 / $115.82 / $223.18	Professional		$50.13	$115.82	$223.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $194.15 / $577.00	Facility		$115.08	$194.15	$577.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $120.58 / $223.18	Professional		$53.61	$120.58	$223.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $150.74 / $208.72	Professional		$112.90	$150.74	$208.72
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,848.00 / $4,067.00	Facility		$500.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.74 / $135.81 / $244.28	Professional		$92.74	$135.81	$244.28