Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.91 / $2,436.00 / $5,902.02	Facility		$281.91	$2,436.00	$5,902.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $225.69 / $493.13	Professional		$85.49	$225.69	$493.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $106.21 / $135.41	Professional		$74.34	$106.21	$135.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,118.00 / $8,800.00	Facility		$918.00	$2,118.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $200.44 / $436.26	Professional		$84.56	$200.44	$436.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $98.04 / $122.33	Facility		$81.70	$98.04	$122.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.39 / $343.72 / $590.96	Professional		$264.39	$343.72	$590.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $577.00 / $1,441.15	Facility		$147.60	$577.00	$1,441.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.59 / $216.66 / $485.98	Professional		$95.59	$216.66	$485.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,073.59 / $2,507.82	Facility		$400.00	$1,073.59	$2,507.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $220.00 / $483.40	Professional		$98.04	$220.00	$483.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $335.32 / $467.08	Professional		$242.98	$335.32	$467.08
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 $245.93 / $351.33 / $611.95	Professional		$245.93	$351.33	$611.95