Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.97 / $1,794.00 / $5,135.00	Facility		$224.97	$1,794.00	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.20 / $183.15 / $392.83	Professional		$96.20	$183.15	$392.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $124.63 / $254.36	Professional		$124.63	$124.63	$254.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $132.97 / $275.13	Professional		$70.56	$132.97	$275.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.87 / $115.04 / $142.40	Facility		$95.87	$115.04	$142.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $233.17 / $275.56	Professional		$119.84	$233.17	$275.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $577.00 / $995.93	Facility		$171.40	$577.00	$995.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $209.94 / $374.37	Professional		$103.97	$209.94	$374.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $590.34 / $1,750.88	Facility		$379.00	$590.34	$1,750.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $218.95 / $365.00	Professional		$110.25	$218.95	$365.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $195.55 / $305.45	Professional		$34.34	$195.55	$305.45
United Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $1,848.00 / $4,067.00	Facility		$487.00	$1,848.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.69 / $243.87 / $427.77	Professional		$165.69	$243.87	$427.77