Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.36 / $2,849.00 / $10,268.00	Facility		$265.36	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $423.48 / $860.82	Professional		$214.10	$423.48	$860.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $215.26 / $215.26	Professional		$215.26	$215.26	$215.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.99 / $442.63 / $747.86	Professional		$287.99	$442.63	$747.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $314.39 / $384.66	Facility		$201.18	$314.39	$384.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.97 / $304.39 / $474.87	Professional		$217.97	$304.39	$474.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $438.84 / $955.97	Professional		$207.12	$438.84	$955.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $435.48 / $859.89	Professional		$226.84	$435.48	$859.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $231.61 / $352.78	Professional		$34.50	$231.61	$352.78
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 $375.15 / $543.64 / $1,071.85	Professional		$375.15	$543.64	$1,071.85