Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $196.32 / $9,504.00	Facility		$63.36	$196.32	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.25 / $87.40 / $198.89	Professional		$44.25	$87.40	$198.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.46 / $119.65 / $152.28	Professional		$92.46	$119.65	$152.28
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 $40.39 / $68.53 / $142.72	Professional		$40.39	$68.53	$142.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $122.91 / $127.83	Professional		$104.47	$122.91	$127.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $60.46 / $71.38	Facility		$48.37	$60.46	$71.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $146.84 / $179.13	Professional		$113.32	$146.84	$179.13
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 $46.40 / $99.55 / $173.47	Professional		$46.40	$99.55	$173.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $74.77 / $139.11	Facility		$70.38	$74.77	$139.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $102.94 / $173.47	Professional		$54.17	$102.94	$173.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $145.95 / $209.48	Professional		$108.45	$145.95	$209.48
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 $55.52 / $118.28 / $201.45	Professional		$55.52	$118.28	$201.45