Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.79 / $2,547.00 / $10,635.00	Facility		$325.79	$2,547.00	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $240.32 / $677.61	Professional		$215.37	$240.32	$677.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.51 / $325.51 / $325.51	Professional		$325.51	$325.51	$325.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.05 / $301.79 / $487.44	Professional		$213.05	$301.79	$487.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.39 / $237.16 / $345.34	Facility		$217.39	$237.16	$345.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.76 / $255.76 / $325.51	Professional		$255.76	$255.76	$325.51
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 $244.14 / $350.07 / $481.09	Professional		$244.14	$350.07	$481.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $278.58 / $278.58 / $278.58	Facility		$278.58	$278.58	$278.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $358.51 / $480.18	Professional		$253.60	$358.51	$480.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.02 / $252.23 / $350.96	Professional		$194.02	$252.23	$350.96
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 $200.92 / $318.43 / $497.73	Professional		$200.92	$318.43	$497.73