Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.93 / $2,194.00 / $8,553.00	Facility		$231.93	$2,194.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.16 / $245.75 / $513.23	Professional		$129.16	$245.75	$513.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.26 / $365.26 / $365.26	Professional		$365.26	$365.26	$365.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $183.51 / $364.69	Professional		$107.14	$183.51	$364.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $156.82 / $194.09	Facility		$130.68	$156.82	$194.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $309.07 / $365.26	Professional		$163.35	$309.07	$365.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.97 / $577.00 / $2,844.48	Facility		$233.97	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $276.13 / $483.00	Professional		$141.79	$276.13	$483.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,119.01	Facility		$366.00	$577.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $281.76 / $483.00	Professional		$150.29	$281.76	$483.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $266.85 / $417.98	Professional		$32.34	$266.85	$417.98
United Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,072.00 / $6,427.80	Facility		$832.00	$4,072.00	$6,427.80
United Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $327.22 / $580.29	Professional		$222.44	$327.22	$580.29