Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.51 / $2,113.00 / $9,534.00	Facility		$201.51	$2,113.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $240.00 / $464.68	Professional		$105.97	$240.00	$464.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.74 / $239.74 / $239.74	Professional		$239.74	$239.74	$239.74
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 $81.89 / $224.05 / $382.63	Professional		$81.89	$224.05	$382.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $122.83 / $336.07 / $573.94	Professional	50	$122.83	$336.07	$573.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.56 / $171.09 / $209.34	Facility		$139.56	$171.09	$209.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $309.51 / $482.84	Professional		$118.62	$309.51	$482.84
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 $112.71 / $259.99 / $468.46	Professional		$112.71	$259.99	$468.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $1,586.87	Facility		$148.21	$165.28	$1,586.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $264.64 / $461.58	Professional		$117.66	$264.64	$461.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $228.19 / $349.61	Professional		$34.50	$228.19	$349.61
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 $125.32 / $283.41 / $510.61	Professional		$125.32	$283.41	$510.61