Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $549.54 / $9,120.11	Facility		$41.69	$549.54	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $64.57 / $331.13	Professional		$20.89	$64.57	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $57.54	Professional		$35.48	$44.67	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $75.86	Professional		$21.88	$43.65	$75.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $52.48 / $93.33	Professional		$16.98	$52.48	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.70 / $28.18	Facility		$16.22	$25.70	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $104.71	Professional		$47.86	$60.26	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $89.13	Professional		$20.89	$44.67	$89.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $186.21 / $21,379.62	Facility		$45.71	$186.21	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $83.18	Professional		$21.88	$47.86	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $33.11	Professional		$14.45	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $74.13	Professional		$19.05	$45.71	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $40.74 / $74.13	Professional		$19.95	$40.74	$74.13