Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $1,791.00 / $9,504.00	Facility		$106.29	$1,791.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $104.46 / $194.45	Professional		$72.81	$104.46	$194.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.18 / $157.18 / $157.18	Professional		$157.18	$157.18	$157.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $88.78 / $143.90	Professional		$67.91	$88.78	$143.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $91.68 / $114.66	Facility		$72.18	$91.68	$114.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.50 / $123.50 / $157.18	Professional		$123.50	$123.50	$157.18
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 $90.59 / $134.72 / $212.72	Professional		$90.59	$134.72	$212.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.24 / $138.24 / $138.24	Facility		$138.24	$138.24	$138.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $136.97 / $212.72	Professional		$90.65	$136.97	$212.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $104.97 / $150.61	Professional		$79.45	$104.97	$150.61
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 $94.40 / $148.62 / $214.94	Professional		$94.40	$148.62	$214.94