Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.23 / $2,451.00 / $9,504.00	Facility		$373.23	$2,451.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.41 / $317.29 / $609.28	Professional		$217.41	$317.29	$609.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $208.44 / $208.44	Professional		$208.44	$208.44	$208.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,794.00 / $14,996.00	Facility		$711.00	$2,794.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $406.16 / $650.44	Professional		$271.72	$406.16	$650.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $209.34 / $251.21 / $310.93	Facility		$209.34	$251.21	$310.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $230.27 / $293.08	Professional		$230.27	$230.27	$293.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $577.00 / $3,232.54	Facility		$251.53	$577.00	$3,232.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.80 / $351.80 / $646.13	Professional		$219.80	$351.80	$646.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $251.53 / $500.00 / $2,408.10	Facility		$251.53	$500.00	$2,408.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.85 / $346.00 / $651.46	Professional		$225.85	$346.00	$651.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.02 / $271.35 / $365.86	Professional		$205.02	$271.35	$365.86
United Facility/Professional Facility Modifier Low / Median / High Price $925.00 / $5,209.00 / $7,821.00	Facility		$925.00	$5,209.00	$7,821.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.83 / $326.14 / $548.89	Professional		$202.83	$326.14	$548.89