Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $2,678.00 / $9,600.43	Facility		$229.24	$2,678.00	$9,600.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $283.43 / $539.19	Professional		$131.82	$283.43	$539.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,048.04 / $1,048.04 / $1,048.04	Professional		$1,048.04	$1,048.04	$1,048.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $238.84 / $442.43	Professional		$121.08	$238.84	$442.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $156.56 / $186.03	Facility		$125.25	$156.56	$186.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $284.61 / $336.36 / $584.92	Professional		$284.61	$336.36	$584.92
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 $143.38 / $267.73 / $467.82	Professional		$143.38	$267.73	$467.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $666.07 / $3,562.39 / $4,540.99	Facility		$666.07	$3,562.39	$4,540.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.04 / $270.38 / $483.68	Professional		$144.04	$270.38	$483.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $307.49 / $419.54	Professional		$225.80	$307.49	$419.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.30 / $369.35 / $622.66	Professional		$267.30	$369.35	$622.66