Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $580.64 / $8,913.00	Facility		$133.72	$580.64	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $148.62 / $245.81	Professional		$88.21	$148.62	$245.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.81 / $111.81 / $140.69	Professional		$111.81	$111.81	$140.69
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 $79.34 / $117.24 / $199.62	Professional		$79.34	$117.24	$199.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.01 / $107.51 / $127.74	Facility		$86.01	$107.51	$127.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.96 / $269.67 / $288.33	Professional		$128.96	$269.67	$288.33
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 $98.91 / $146.55 / $231.77	Professional		$98.91	$146.55	$231.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $266.24 / $305.32 / $456.11	Facility		$266.24	$305.32	$456.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $150.75 / $233.79	Professional		$103.21	$150.75	$233.79
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 $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $155.63 / $249.02	Professional		$103.65	$155.63	$249.02