Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.49 / $1,494.50 / $4,723.00	Facility		$323.49	$1,494.50	$4,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.67 / $272.43 / $511.07	Professional		$180.67	$272.43	$511.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.78 / $254.49 / $406.46	Professional		$181.78	$254.49	$406.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.54 / $203.60 / $365.53	Professional		$129.54	$203.60	$365.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.78 / $218.14 / $270.38	Facility		$181.78	$218.14	$270.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $262.23 / $340.90 / $594.40	Professional		$262.23	$340.90	$594.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.82 / $366.00 / $581.00	Facility		$264.82	$366.00	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.87 / $297.19 / $496.71	Professional		$190.87	$297.19	$496.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $264.82 / $577.00 / $1,665.50	Facility		$264.82	$577.00	$1,665.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $199.96 / $314.67 / $503.95	Professional		$199.96	$314.67	$503.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $234.65 / $368.34	Professional		$32.34	$234.65	$368.34
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 $217.28 / $313.43 / $539.96	Professional		$217.28	$313.43	$539.96