Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.10 / $1,872.00 / $9,496.00	Facility		$153.10	$1,872.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $144.36 / $317.83	Professional		$81.59	$144.36	$317.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $352.45 / $352.45	Professional		$49.45	$352.45	$352.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,081.00 / $8,800.00	Facility		$918.00	$2,081.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $107.29 / $250.87	Professional		$67.13	$107.29	$250.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.41 / $98.89 / $122.39	Facility		$82.41	$98.89	$122.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $250.13 / $295.61	Professional		$103.01	$250.13	$295.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.10 / $577.00 / $1,287.90	Facility		$148.10	$577.00	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $169.92 / $360.00	Professional		$93.40	$169.92	$360.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,159.76	Facility		$366.00	$577.00	$2,159.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $175.00 / $367.62	Professional		$94.78	$175.00	$367.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $259.53 / $362.04	Professional		$195.15	$259.53	$362.04
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 $99.86 / $159.47 / $311.85	Professional		$99.86	$159.47	$311.85