Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $1,883.00 / $8,553.00	Facility		$105.41	$1,883.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $100.88 / $182.66	Professional		$70.89	$100.88	$182.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Professional		$65.26	$65.26	$65.26
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 $60.11 / $86.94 / $161.38	Professional		$60.11	$86.94	$161.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $86.06 / $106.52	Facility		$71.72	$86.06	$106.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $112.28 / $112.28	Professional		$105.29	$112.28	$112.28
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 $86.06 / $131.66 / $212.97	Professional		$86.06	$131.66	$212.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $369.97 / $1,012.70 / $1,853.86	Facility		$369.97	$1,012.70	$1,853.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $135.82 / $213.00	Professional		$89.65	$135.82	$213.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $157.60 / $210.19	Professional		$117.74	$157.60	$210.19
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 $101.59 / $137.79 / $224.04	Professional		$101.59	$137.79	$224.04