Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.54 / $1,063.99 / $9,496.00	Facility		$96.54	$1,063.99	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $115.15 / $266.39	Professional		$64.92	$115.15	$266.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $91.91 / $91.91	Professional		$91.91	$91.91	$91.91
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 $71.41 / $95.95 / $169.62	Professional		$71.41	$95.95	$169.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $91.91 / $113.76	Facility		$76.59	$91.91	$113.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.69 / $120.88 / $120.88	Professional		$107.69	$120.88	$120.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $132.86 / $223.42	Professional		$84.25	$132.86	$223.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $485.18 / $921.22 / $1,293.77	Facility		$485.18	$921.22	$1,293.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $141.76 / $227.98	Professional		$91.91	$141.76	$227.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.31 / $115.92 / $157.44	Professional		$86.31	$115.92	$157.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.05 / $155.04 / $262.31	Professional		$113.05	$155.04	$262.31