Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.80 / $279.70 / $11,581.00	Facility		$112.80	$279.70	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.30 / $145.44 / $286.52	Professional		$113.30	$145.44	$286.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $134.55 / $137.37	Professional		$134.55	$134.55	$137.37
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 $60.33 / $114.23 / $218.97	Professional		$60.33	$114.23	$218.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $126.80 / $156.94	Facility		$105.67	$126.80	$156.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $148.01 / $148.01	Professional		$103.26	$148.01	$148.01
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 $115.85 / $168.17 / $271.58	Professional		$115.85	$168.17	$271.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $114.53 / $114.53 / $294.54	Facility		$114.53	$114.53	$294.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.53 / $174.92 / $272.44	Professional		$121.53	$174.92	$272.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.76 / $133.64 / $194.44	Professional		$95.76	$133.64	$194.44
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 $110.86 / $161.11 / $270.69	Professional		$110.86	$161.11	$270.69