Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.63 / $778.87 / $9,252.42	Facility		$155.63	$778.87	$9,252.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $155.63 / $264.23	Professional		$112.29	$155.63	$264.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $137.11 / $161.31	Professional		$137.11	$137.11	$161.31
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 $85.58 / $130.88 / $222.19	Professional		$85.58	$130.88	$222.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $118.81 / $142.57 / $176.46	Facility		$118.81	$142.57	$176.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $147.86 / $147.86	Professional		$109.64	$147.86	$147.86
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 $125.13 / $166.33 / $265.24	Professional		$125.13	$166.33	$265.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $473.82 / $473.82 / $759.95	Facility		$473.82	$473.82	$759.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $174.75 / $268.50	Professional		$127.43	$174.75	$268.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $133.42 / $194.44	Professional		$93.70	$133.42	$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 $102.54 / $163.82 / $311.99	Professional		$102.54	$163.82	$311.99