Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $2,646.00 / $9,516.00	Facility		$28.32	$2,646.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $31.32 / $64.25	Professional		$22.14	$31.32	$64.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
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 $19.62 / $27.88 / $49.56	Professional		$19.62	$27.88	$49.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $27.71 / $40.78	Facility		$21.59	$27.71	$40.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $32.86 / $41.82	Professional		$32.86	$32.86	$41.82
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 $27.02 / $38.54 / $66.20	Professional		$27.02	$38.54	$66.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Facility		$41.73	$41.73	$41.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $38.54 / $66.20	Professional		$27.42	$38.54	$66.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $14.09 / $25.79	Professional		$11.97	$14.09	$25.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $44.59 / $66.40	Professional		$27.96	$44.59	$66.40