Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $1,011.44 / $8,553.00	Facility		$78.91	$1,011.44	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $87.15 / $164.40	Professional		$43.41	$87.15	$164.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Professional		$65.94	$65.94	$65.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $103.87 / $187.62	Professional		$57.03	$103.87	$187.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $50.69 / $62.37	Facility		$41.58	$50.69	$62.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $106.16 / $185.85	Professional		$81.66	$106.16	$185.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $75.41 / $21,571.00	Facility		$65.54	$75.41	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $105.89 / $194.00	Professional		$48.65	$105.89	$194.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $577.00 / $1,400.99	Facility		$75.41	$577.00	$1,400.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $104.49 / $193.81	Professional		$48.65	$104.49	$193.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $108.52 / $152.32	Professional		$78.46	$108.52	$152.32
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $975.00 / $3,218.00	Facility		$226.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $114.39 / $189.24	Professional		$74.72	$114.39	$189.24