Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $2,178.00 / $9,516.00	Facility		$379.00	$2,178.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.05 / $442.50 / $895.61	Professional		$170.05	$442.50	$895.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $112.48 / $498.07	Professional		$112.48	$112.48	$498.07
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 $163.66 / $276.82 / $672.54	Professional		$163.66	$276.82	$672.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.04 / $207.65 / $257.02	Facility		$173.04	$207.65	$257.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $547.88 / $647.49	Professional		$216.30	$547.88	$647.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.67 / $577.00 / $2,844.48	Facility		$310.67	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.29 / $421.82 / $896.52	Professional		$188.29	$421.82	$896.52
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 $195.68 / $440.75 / $898.47	Professional		$195.68	$440.75	$898.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $486.02 / $741.76	Professional		$34.34	$486.02	$741.76
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 $439.08 / $608.75 / $1,062.47	Professional		$439.08	$608.75	$1,062.47