Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.68 / $2,218.00 / $9,516.00	Facility		$200.68	$2,218.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $210.28 / $751.52	Professional		$123.04	$210.28	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $163.52 / $163.52	Professional		$106.29	$163.52	$163.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $200.93 / $328.50	Professional		$151.60	$200.93	$328.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $131.03 / $157.68	Facility		$116.80	$131.03	$157.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $129.06 / $146.00	Professional		$129.06	$129.06	$146.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.39 / $763.40 / $1,287.90	Facility		$210.39	$763.40	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.81 / $217.01 / $392.50	Professional		$132.81	$217.01	$392.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $878.33 / $1,525.11	Facility		$530.00	$878.33	$1,525.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $222.86 / $377.41	Professional		$134.32	$222.86	$377.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $224.16 / $309.39	Professional		$156.93	$224.16	$309.39
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 $172.24 / $238.78 / $405.66	Professional		$172.24	$238.78	$405.66