Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $1,883.00 / $9,504.00	Facility		$107.74	$1,883.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $119.36 / $228.53	Professional		$62.41	$119.36	$228.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $76.22 / $76.22	Professional		$76.22	$76.22	$76.22
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 $85.66 / $146.96 / $240.70	Professional		$85.66	$146.96	$240.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.97 / $73.16 / $90.56	Facility		$60.97	$73.16	$90.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $164.32 / $194.19	Professional		$76.20	$164.32	$194.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $177.65 / $581.00	Facility		$109.44	$177.65	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.12 / $153.03 / $278.26	Professional		$70.12	$153.03	$278.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $177.65 / $562.00	Facility		$147.85	$177.65	$562.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $156.84 / $278.33	Professional		$73.17	$156.84	$278.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.45 / $187.04 / $260.02	Professional		$140.45	$187.04	$260.02
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 $118.11 / $167.17 / $292.64	Professional		$118.11	$167.17	$292.64