Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $497.26 / $9,504.00	Facility		$60.54	$497.26	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $60.54 / $104.92	Professional		$39.15	$60.54	$104.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $77.98 / $77.98	Professional		$77.98	$77.98	$77.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $52.33 / $108.87	Professional		$36.99	$52.33	$108.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $74.70 / $13,841.13	Facility		$49.80	$74.70	$13,841.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $69.63 / $108.62	Professional		$42.33	$69.63	$108.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $21,571.00	Facility		$69.06	$69.06	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $63.21 / $132.99	Professional		$40.22	$63.21	$132.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $230.04 / $278.60 / $720.06	Facility		$230.04	$278.60	$720.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $64.14 / $115.67	Professional		$43.59	$64.14	$115.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $75.89 / $102.58	Professional		$54.68	$75.89	$102.58
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $63.26 / $133.41	Professional		$50.44	$63.26	$133.41