Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.34 / $2,218.00 / $8,306.75	Facility		$137.34	$2,218.00	$8,306.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $150.87 / $275.47	Professional		$80.79	$150.87	$275.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $135.71	Professional		$70.56	$70.56	$135.71
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 $80.84 / $160.04 / $314.50	Professional		$80.84	$160.04	$314.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $93.06 / $115.18	Facility		$77.55	$93.06	$115.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $174.12 / $205.78	Professional		$96.94	$174.12	$205.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $577.00 / $1,441.15	Facility		$140.38	$577.00	$1,441.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.19 / $164.76 / $299.64	Professional		$89.19	$164.76	$299.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $854.25 / $3,414.50	Facility		$379.00	$854.25	$3,414.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $164.76 / $296.02	Professional		$93.06	$164.76	$296.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $189.09 / $257.50	Professional		$137.47	$189.09	$257.50
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 $140.50 / $202.94 / $362.96	Professional		$140.50	$202.94	$362.96