Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.85 / $776.00 / $4,275.00	Facility		$136.85	$776.00	$4,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.62 / $149.75 / $360.15	Professional		$110.62	$149.75	$360.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $150.53 / $172.04	Professional		$108.94	$150.53	$172.04
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 $99.21 / $130.26 / $214.64	Professional		$99.21	$130.26	$214.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.14 / $140.57 / $175.71	Facility		$117.14	$140.57	$175.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $186.37 / $236.11	Professional		$143.36	$186.37	$236.11
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 $133.25 / $193.28 / $279.64	Professional		$133.25	$193.28	$279.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $475.88 / $1,015.41	Facility		$229.63	$475.88	$1,015.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $194.55 / $291.43	Professional		$134.71	$194.55	$291.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $160.80 / $229.00	Professional		$116.59	$160.80	$229.00
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 $124.19 / $195.41 / $313.35	Professional		$124.19	$195.41	$313.35