Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.94 / $1,791.00 / $9,504.00	Facility		$144.94	$1,791.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $145.85 / $443.82	Professional		$92.35	$145.85	$443.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.01 / $105.01 / $126.58	Professional		$105.01	$105.01	$126.58
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 $61.10 / $95.29 / $192.29	Professional		$61.10	$95.29	$192.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $93.78 / $114.71	Facility		$82.50	$93.78	$114.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.51 / $97.51 / $110.30	Professional		$97.51	$97.51	$110.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $562.00 / $600.00	Facility		$158.83	$562.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $159.56 / $294.06	Professional		$98.41	$159.56	$294.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $158.83 / $562.00 / $600.00	Facility		$158.83	$562.00	$600.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $164.23 / $284.00	Professional		$101.47	$164.23	$284.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $187.97 / $257.50	Professional		$132.93	$187.97	$257.50
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $169.90 / $295.94	Professional		$122.82	$169.90	$295.94