Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.15 / $856.10 / $4,975.00	Facility		$221.15	$856.10	$4,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.09 / $223.10 / $370.47	Professional		$130.09	$223.10	$370.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $160.80 / $189.18	Professional		$143.46	$160.80	$189.18
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 $117.86 / $170.26 / $287.51	Professional		$117.86	$170.26	$287.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.71 / $158.38 / $188.19	Facility		$126.71	$158.38	$188.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.42 / $204.95 / $365.66	Professional		$173.42	$204.95	$365.66
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 $140.43 / $203.37 / $311.30	Professional		$140.43	$203.37	$311.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $452.79 / $660.72	Facility		$259.77	$452.79	$660.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $208.72 / $329.38	Professional		$147.01	$208.72	$329.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $156.67 / $210.19	Professional		$116.25	$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 $144.47 / $197.36 / $342.26	Professional		$144.47	$197.36	$342.26