Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.01 / $507.74 / $4,275.00	Facility		$74.01	$507.74	$4,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $74.01 / $152.75	Professional		$29.96	$74.01	$152.75
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.98 / $37.01 / $52.11	Professional	52	$14.98	$37.01	$52.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $55.63 / $72.34	Professional		$36.70	$55.63	$72.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $73.66 / $137.47	Professional		$34.97	$73.66	$137.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $35.29 / $41.93	Facility		$28.23	$35.29	$41.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $89.57 / $155.44	Professional		$75.79	$89.57	$155.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.24 / $81.45 / $158.46	Professional		$34.24	$81.45	$158.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $197.24 / $439.52 / $593.38	Facility		$197.24	$439.52	$593.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $84.27 / $165.00	Professional		$35.00	$84.27	$165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $96.75 / $159.37	Professional		$71.09	$96.75	$159.37