Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.06 / $1,967.00 / $9,534.00	Facility		$202.06	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $202.06 / $353.54	Professional		$144.83	$202.06	$353.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.50 / $231.50 / $254.39	Professional		$231.50	$231.50	$254.39
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 $120.80 / $173.33 / $348.14	Professional		$120.80	$173.33	$348.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $195.16 / $222.97	Facility		$147.94	$195.16	$222.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.19 / $205.01 / $242.28	Professional		$159.19	$205.01	$242.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $121.54 / $21,571.00	Facility		$108.99	$121.54	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $232.96 / $400.35	Professional		$155.16	$232.96	$400.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $108.99 / $121.54	Facility		$108.99	$108.99	$121.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $235.36 / $370.33	Professional		$157.63	$235.36	$370.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.09 / $202.51 / $287.79	Professional		$153.09	$202.51	$287.79
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 $171.01 / $213.32 / $461.17	Professional		$171.01	$213.32	$461.17