Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.28 / $3,374.00 / $9,504.00	Facility		$520.28	$3,374.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $371.63 / $684.07	Professional		$207.74	$371.63	$684.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $975.95	Professional		$324.58	$324.58	$975.95
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 $183.22 / $255.11 / $468.70	Professional		$183.22	$255.11	$468.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.70 / $428.04 / $529.79	Facility		$356.70	$428.04	$529.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.83 / $392.37 / $463.71	Professional		$280.83	$392.37	$463.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $577.00 / $2,844.48	Facility		$379.00	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.86 / $414.35 / $672.02	Professional		$269.86	$414.35	$672.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $600.00 / $2,119.01	Facility		$379.00	$600.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $435.17 / $672.02	Professional		$291.43	$435.17	$672.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $375.26 / $549.24	Professional		$34.50	$375.26	$549.24
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.11 / $411.53 / $762.90	Professional		$281.11	$411.53	$762.90