Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.22 / $689.54 / $8,553.00	Facility		$87.22	$689.54	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $94.72 / $181.86	Professional		$51.31	$94.72	$181.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $72.19 / $72.19	Professional		$72.19	$72.19	$72.19
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 $51.45 / $82.50 / $171.28	Professional		$51.45	$82.50	$171.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $59.20 / $73.26	Facility		$49.33	$59.20	$73.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $98.34 / $103.61	Professional		$98.34	$98.34	$103.61
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 $56.73 / $100.21 / $178.04	Professional		$56.73	$100.21	$178.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.10 / $426.86 / $1,036.18	Facility		$323.10	$426.86	$1,036.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $102.82 / $186.35	Professional		$59.19	$102.82	$186.35
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 $88.14 / $122.84 / $202.35	Professional		$88.14	$122.84	$202.35