Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.55 / $159.10 / $9,516.00	Facility		$46.55	$159.10	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $70.59 / $157.22	Professional		$28.99	$70.59	$157.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $93.34 / $124.45	Professional		$37.78	$93.34	$124.45
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 $23.49 / $49.45 / $110.31	Professional		$23.49	$49.45	$110.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $100.45 / $104.47	Professional		$85.38	$100.45	$104.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $39.65 / $46.90	Facility		$31.73	$39.65	$46.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $120.00 / $146.38	Professional		$93.07	$120.00	$146.38
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 $30.64 / $79.61 / $140.38	Professional		$30.64	$79.61	$140.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $160.55 / $189.11 / $322.07	Facility		$160.55	$189.11	$322.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $79.61 / $140.38	Professional		$34.90	$79.61	$140.38
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 $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $102.22 / $171.01	Professional		$63.26	$102.22	$171.01