Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $229.75 / $11,581.00	Facility		$72.11	$229.75	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $105.78 / $219.38	Professional		$53.54	$105.78	$219.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $123.43 / $172.80	Professional		$56.16	$123.43	$172.80
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 $51.97 / $86.79 / $168.34	Professional		$51.97	$86.79	$168.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $118.56 / $139.47	Professional		$118.56	$118.56	$139.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $70.30 / $82.95	Facility		$56.24	$70.30	$82.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $166.63 / $203.28	Professional		$128.44	$166.63	$203.28
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 $55.12 / $115.18 / $203.66	Professional		$55.12	$115.18	$203.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $122.03 / $203.66	Professional		$59.06	$122.03	$203.66
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 $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $144.00 / $247.73	Professional		$99.67	$144.00	$247.73