Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $301.89 / $11,581.00	Facility		$45.10	$301.89	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $95.08 / $169.13	Professional		$52.61	$95.08	$169.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $81.65 / $113.86	Professional		$81.65	$81.65	$113.86
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 $62.71 / $87.56 / $156.44	Professional		$62.71	$87.56	$156.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $124.05 / $124.05	Professional		$124.05	$124.05	$124.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $72.75 / $72.75	Facility		$49.96	$72.75	$72.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $116.12 / $116.12	Professional		$92.48	$116.12	$116.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $105.72 / $175.20	Professional		$48.00	$105.72	$175.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $167.75 / $167.75 / $167.75	Facility		$167.75	$167.75	$167.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $110.84 / $180.16	Professional		$51.43	$110.84	$180.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $112.24 / $186.42	Professional		$80.63	$112.24	$186.42