Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $829.67 / $3,168.77	Facility		$29.10	$829.67	$3,168.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $915.40 / $1,302.45	Professional		$28.21	$915.40	$1,302.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.31 / $1,034.31 / $1,554.91	Professional		$1,034.31	$1,034.31	$1,554.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $735.12 / $1,547.26	Professional		$25.16	$735.12	$1,547.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $44.47	Facility		$44.47	$44.47	$44.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $985.55 / $1,281.52 / $1,831.49	Professional		$985.55	$1,281.52	$1,831.49
United Facility/Professional Professional Modifier Low / Median / High Price $875.10 / $1,221.13 / $1,824.32	Professional		$875.10	$1,221.13	$1,824.32