Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.11 / $2,238.00 / $8,956.00	Facility		$332.11	$2,238.00	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $450.88 / $801.04	Professional		$223.34	$450.88	$801.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.51 / $228.66 / $331.24	Professional		$196.51	$228.66	$331.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.00 / $2,443.00 / $8,015.00	Facility		$919.00	$2,443.00	$8,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.89 / $336.86 / $559.46	Professional		$222.89	$336.86	$559.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.70 / $256.44 / $320.55	Facility		$213.70	$256.44	$320.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.72 / $571.64 / $997.88	Professional		$439.72	$571.64	$997.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.52 / $763.40 / $959.43	Facility		$384.52	$763.40	$959.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $454.60 / $806.77	Professional		$240.83	$454.60	$806.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $959.43 / $3,261.47	Facility		$530.00	$959.43	$3,261.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $448.28 / $807.45	Professional		$240.00	$448.28	$807.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.49 / $563.83 / $767.35	Professional		$414.49	$563.83	$767.35
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,297.00 / $5,235.00	Facility		$675.00	$2,297.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.25 / $542.36 / $937.36	Professional		$403.25	$542.36	$937.36