Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.93 / $1,902.00 / $9,534.00	Facility		$177.93	$1,902.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $163.16 / $309.63	Professional		$88.74	$163.16	$309.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $62.08	Professional		$62.08	$62.08	$62.08
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 $87.84 / $148.37 / $282.32	Professional		$87.84	$148.37	$282.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $141.33 / $623.19	Facility		$115.28	$141.33	$623.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $202.56 / $316.01	Professional		$97.99	$202.56	$316.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $459.12 / $21,571.00	Facility		$159.44	$459.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $170.15 / $313.88	Professional		$93.11	$170.15	$313.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $459.12 / $511.97 / $844.72	Facility		$459.12	$511.97	$844.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $164.48 / $310.23	Professional		$97.54	$164.48	$310.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $186.05 / $257.67	Professional		$137.47	$186.05	$257.67
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 $150.07 / $186.95 / $386.32	Professional		$150.07	$186.95	$386.32