Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.70 / $1,902.00 / $9,504.00	Facility		$127.70	$1,902.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $129.91 / $223.70	Professional		$87.37	$129.91	$223.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.81 / $89.81 / $112.69	Professional		$89.81	$89.81	$112.69
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 $70.34 / $114.85 / $204.89	Professional		$70.34	$114.85	$204.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $102.64 / $127.03	Facility		$85.53	$102.64	$127.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $136.22 / $136.22	Professional		$125.89	$136.22	$136.22
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 $102.63 / $154.80 / $242.00	Professional		$102.63	$154.80	$242.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $421.96 / $421.96 / $421.96	Facility		$421.96	$421.96	$421.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $159.60 / $242.00	Professional		$105.00	$159.60	$242.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $156.67 / $210.19	Professional		$115.59	$156.67	$210.19
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $975.00 / $3,218.00	Facility		$467.00	$975.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.93 / $150.44 / $260.89	Professional		$111.93	$150.44	$260.89