Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $1,791.00 / $9,504.00	Facility		$72.75	$1,791.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $80.11 / $150.22	Professional		$40.77	$80.11	$150.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.42 / $66.42 / $66.42	Professional		$66.42	$66.42	$66.42
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 $39.85 / $51.81 / $86.46	Professional		$39.85	$51.81	$86.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $52.03 / $65.04	Facility		$43.36	$52.03	$65.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $109.23 / $138.38	Professional		$87.01	$109.23	$138.38
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 $51.24 / $96.62 / $193.25	Professional		$51.24	$96.62	$193.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $454.08 / $1,022.95	Facility		$78.31	$454.08	$1,022.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $98.78 / $192.69	Professional		$51.59	$98.78	$192.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $104.97 / $150.61	Professional		$78.46	$104.97	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $222.42 / $738.00 / $2,816.00	Facility		$222.42	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $141.30 / $222.08	Professional		$88.85	$141.30	$222.08