Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.62 / $315.52 / $5,135.00	Facility		$59.62	$315.52	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $92.40 / $171.59	Professional		$35.00	$92.40	$171.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $81.31 / $134.04	Professional		$36.90	$81.31	$134.04
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 $33.94 / $79.63 / $140.38	Professional		$33.94	$79.63	$140.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.27 / $100.98 / $105.02	Professional		$89.27	$100.98	$105.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $43.93 / $52.06	Facility		$35.14	$43.93	$52.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $120.64 / $147.16	Professional		$93.54	$120.64	$147.16
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 $34.44 / $81.76 / $166.13	Professional		$34.44	$81.76	$166.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $236.51 / $410.82	Facility		$130.19	$236.51	$410.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $90.83 / $164.15	Professional		$39.36	$90.83	$164.15
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 / $975.00 / $3,398.00	Facility		$467.00	$975.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.99 / $105.87 / $171.51	Professional		$81.99	$105.87	$171.51