Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $2,475.00 / $10,268.00	Facility		$95.15	$2,475.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $1,042.08 / $2,141.21	Professional		$45.67	$1,042.08	$2,141.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.16 / $1,128.23 / $1,445.26	Professional		$1,071.16	$1,128.23	$1,445.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $80.68 / $165.47	Professional		$54.08	$80.68	$165.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.12 / $121.02 / $248.20	Professional	50	$81.12	$121.02	$248.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.14 / $65.16 / $79.70	Facility		$53.14	$65.16	$79.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $1,389.68 / $2,167.89	Professional		$45.17	$1,389.68	$2,167.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $74.09 / $21,571.00	Facility		$74.09	$74.09	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $1,009.23 / $2,426.29	Professional		$46.32	$1,009.23	$2,426.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,171.34 / $1,171.34 / $1,613.54	Facility		$1,171.34	$1,171.34	$1,613.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $1,119.95 / $2,420.39	Professional		$49.06	$1,119.95	$2,420.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $994.84 / $1,389.27 / $1,932.94	Professional		$994.84	$1,389.27	$1,932.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.83 / $1,479.46 / $2,855.33	Professional		$1,177.83	$1,479.46	$2,855.33