Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.45 / $2,113.00 / $10,268.00	Facility		$425.45	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $390.90 / $770.67	Professional		$236.87	$390.90	$770.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $143.28 / $385.19	Professional		$143.28	$143.28	$385.19
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 $200.60 / $372.71 / $712.96	Professional		$200.60	$372.71	$712.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $300.89 / $559.05 / $1,069.44	Professional	50	$300.89	$559.05	$1,069.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.18 / $347.96 / $456.84	Facility		$201.18	$347.96	$456.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.88 / $484.01 / $755.06	Professional		$258.88	$484.01	$755.06
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 $245.99 / $427.03 / $781.95	Professional		$245.99	$427.03	$781.95
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 $261.51 / $434.94 / $779.28	Professional		$261.51	$434.94	$779.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $375.05 / $566.94	Professional		$34.50	$375.05	$566.94
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 $269.70 / $451.61 / $801.71	Professional		$269.70	$451.61	$801.71