Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.27 / $3,524.40 / $6,803.72	Facility		$309.27	$3,524.40	$6,803.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $308.08 / $586.67	Professional		$149.97	$308.08	$586.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.76 / $222.76 / $616.79	Professional		$222.76	$222.76	$616.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $259.36 / $607.66	Professional		$137.72	$259.36	$607.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.66 / $178.33 / $211.88	Facility		$142.66	$178.33	$211.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $358.62 / $625.87	Professional		$303.45	$358.62	$625.87
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 $164.06 / $302.73 / $525.14	Professional		$164.06	$302.73	$525.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,691.08 / $2,822.18 / $4,587.66	Facility		$1,691.08	$2,822.18	$4,587.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $302.73 / $555.29	Professional		$165.00	$302.73	$555.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $346.43 / $471.45	Professional		$256.04	$346.43	$471.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $240.24 / $331.47 / $617.07	Professional		$240.24	$331.47	$617.07