Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.38 / $3,265.00 / $9,504.00	Facility		$231.38	$3,265.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $221.12 / $415.70	Professional		$130.51	$221.12	$415.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $264.83 / $264.83	Professional		$264.83	$264.83	$264.83
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 $106.34 / $191.73 / $382.59	Professional		$106.34	$191.73	$382.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $159.51 / $287.58 / $573.89	Professional	50	$159.51	$287.58	$573.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $217.82 / $266.51	Facility		$177.67	$217.82	$266.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.02 / $264.02 / $411.89	Professional		$151.02	$264.02	$411.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $166.95 / $21,571.00	Facility		$149.71	$166.95	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $229.42 / $430.62	Professional		$143.50	$229.42	$430.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $149.71 / $166.95 / $1,854.82	Facility		$149.71	$166.95	$1,854.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $234.15 / $411.54	Professional		$150.01	$234.15	$411.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $180.26 / $300.77	Professional		$32.34	$180.26	$300.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $246.45 / $491.95	Professional		$198.59	$246.45	$491.95