Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $1,791.00 / $8,913.00	Facility		$92.98	$1,791.00	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $84.88 / $181.83	Professional		$62.53	$84.88	$181.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $91.99 / $122.11	Professional		$85.42	$91.99	$122.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $77.53 / $123.69	Professional		$59.24	$77.53	$123.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $78.03 / $97.59	Facility		$61.44	$78.03	$97.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $95.94 / $122.11	Professional		$95.94	$95.94	$122.11
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 $77.77 / $110.35 / $168.83	Professional		$77.77	$110.35	$168.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $584.71 / $744.01	Facility		$118.00	$584.71	$744.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $111.09 / $168.83	Professional		$78.20	$111.09	$168.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $71.67 / $101.43	Professional		$54.68	$71.67	$101.43
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 $76.51 / $124.01 / $191.28	Professional		$76.51	$124.01	$191.28