Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $891.12 / $5,741.01	Facility		$37.82	$891.12	$5,741.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $34.38 / $70.08	Professional		$17.12	$34.38	$70.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $29.90 / $54.70	Professional		$17.45	$29.90	$54.70
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.18 / $44.85 / $82.05	Professional	50	$26.18	$44.85	$82.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $29.40 / $34.24	Facility		$23.52	$29.40	$34.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $49.65 / $60.58	Professional		$37.54	$49.65	$60.58
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 $23.29 / $39.58 / $66.53	Professional		$23.29	$39.58	$66.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $423.70 / $1,062.92	Facility		$120.41	$423.70	$1,062.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $41.18 / $63.00	Professional		$24.70	$41.18	$63.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $42.95 / $71.97	Professional		$32.21	$42.95	$71.97