Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.87 / $2,113.00 / $10,268.00	Facility		$173.87	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $147.41 / $291.54	Professional		$95.81	$147.41	$291.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $158.55 / $158.55	Professional		$158.55	$158.55	$158.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $139.52 / $278.41	Professional		$81.99	$139.52	$278.41
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $122.98 / $209.28 / $417.61	Professional	50	$122.98	$209.28	$417.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.56 / $162.51 / $1,525.80	Facility		$132.56	$162.51	$1,525.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $198.19 / $127,498.73	Professional		$129.36	$198.19	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.02 / $1,124.08 / $21,571.00	Facility		$183.02	$1,124.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $173.22 / $310.67	Professional		$107.07	$173.22	$310.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,124.08 / $1,124.08 / $1,253.49	Facility		$1,124.08	$1,124.08	$1,253.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $181.90 / $291.70	Professional		$111.75	$181.90	$291.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $165.23 / $237.39	Professional		$121.67	$165.23	$237.39
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 $145.24 / $181.67 / $378.26	Professional		$145.24	$181.67	$378.26