Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $1,967.00 / $9,504.00	Facility		$122.99	$1,967.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $235.14 / $605.45	Professional		$68.19	$235.14	$605.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.92 / $72.20 / $114.71	Professional		$59.92	$72.20	$114.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $353.06 / $697.29	Professional		$94.64	$353.06	$697.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $81.94 / $97.36	Facility		$66.86	$81.94	$97.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.87 / $397.87 / $452.13	Professional		$397.87	$397.87	$452.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $21,571.00	Facility		$118.37	$118.37	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $224.99 / $691.32	Professional		$78.05	$224.99	$691.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.37 / $118.37 / $388.99	Facility		$118.37	$118.37	$388.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $204.50 / $657.40	Professional		$78.59	$204.50	$657.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.93 / $430.49 / $610.89	Professional		$329.93	$430.49	$610.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.06 / $488.30 / $866.66	Professional		$349.06	$488.30	$866.66