Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $3,027.00 / $9,504.00	Facility		$281.25	$3,027.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $236.92 / $424.08	Professional		$175.00	$236.92	$424.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $80.67 / $273.93	Professional		$80.67	$80.67	$273.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $220.37 / $380.01	Professional		$155.50	$220.37	$380.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.30 / $212.76 / $263.33	Facility		$177.30	$212.76	$263.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $251.11 / $251.11	Professional		$195.88	$251.11	$251.11
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 $189.71 / $271.66 / $445.41	Professional		$189.71	$271.66	$445.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12,671.80 / $12,671.80 / $12,671.80	Facility		$12,671.80	$12,671.80	$12,671.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $277.08 / $449.30	Professional		$195.03	$277.08	$449.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $231.55 / $328.04	Professional		$163.59	$231.55	$328.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,350.26 / $3,724.00 / $6,238.00	Facility		$2,350.26	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $280.19 / $459.88	Professional		$190.03	$280.19	$459.88