Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.15 / $2,485.00 / $9,504.00	Facility		$182.15	$2,485.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $190.43 / $345.53	Professional		$128.47	$190.43	$345.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.38 / $143.56 / $254.55	Professional		$99.38	$143.56	$254.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.55 / $149.46 / $184.99	Facility		$124.55	$149.46	$184.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $191.79 / $191.79	Professional		$143.00	$191.79	$191.79
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 $136.06 / $193.04 / $336.93	Professional		$136.06	$193.04	$336.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,257.19 / $2,257.19 / $2,717.56	Facility		$2,257.19	$2,257.19	$2,717.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.76 / $200.50 / $342.44	Professional		$140.76	$200.50	$342.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $193.40 / $277.47	Professional		$129.44	$193.40	$277.47
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 $129.86 / $194.01 / $334.79	Professional		$129.86	$194.01	$334.79