Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.71 / $2,301.00 / $4,931.24	Facility		$239.71	$2,301.00	$4,931.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $225.09 / $429.00	Professional		$95.30	$225.09	$429.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $121.10 / $234.99	Professional		$100.92	$121.10	$234.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $123.59 / $208.10	Professional		$94.23	$123.59	$208.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $121.10 / $151.38	Facility		$100.92	$121.10	$151.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.50 / $305.49 / $387.01	Professional		$245.50	$305.49	$387.01
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 $118.07 / $212.69 / $413.06	Professional		$118.07	$212.69	$413.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $948.22 / $1,478.40 / $2,849.85	Facility		$948.22	$1,478.40	$2,849.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $212.69 / $422.99	Professional		$117.60	$212.69	$422.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $281.87 / $400.12	Professional		$216.90	$281.87	$400.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.59 / $292.58 / $440.25	Professional		$159.59	$292.58	$440.25