Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.65 / $856.10 / $8,913.00	Facility		$146.65	$856.10	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.62 / $171.32 / $316.76	Professional		$98.62	$171.32	$316.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $168.66 / $168.66	Professional		$168.66	$168.66	$168.66
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 $83.30 / $135.94 / $236.62	Professional		$83.30	$135.94	$236.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.17 / $118.96 / $141.36	Facility		$95.17	$118.96	$141.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.61 / $182.72 / $323.52	Professional		$154.61	$182.72	$323.52
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 $114.20 / $174.28 / $275.49	Professional		$114.20	$174.28	$275.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $386.11 / $685.46 / $846.39	Facility		$386.11	$685.46	$846.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $181.04 / $275.49	Professional		$117.05	$181.04	$275.49
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 $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.38 / $180.59 / $301.18	Professional		$128.38	$180.59	$301.18