Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $139.54 / $10,268.00	Facility		$59.44	$139.54	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $88.35 / $181.82	Professional		$42.46	$88.35	$181.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $71.15 / $109.46	Professional		$71.15	$71.15	$109.46
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 $47.12 / $76.08 / $146.99	Professional		$47.12	$76.08	$146.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.68 / $114.12 / $220.49	Professional	50	$70.68	$114.12	$220.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $105.14 / $123.69 / $123.69	Professional		$105.14	$123.69	$123.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $57.26 / $67.62	Facility		$45.81	$57.26	$67.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $147.77 / $180.27	Professional		$114.40	$147.77	$180.27
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 $44.89 / $100.80 / $176.69	Professional		$44.89	$100.80	$176.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $143.88 / $143.88 / $143.88	Facility		$143.88	$143.88	$143.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $105.12 / $172.26	Professional		$49.80	$105.12	$172.26
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 $78.18 / $126.31 / $208.18	Professional		$78.18	$126.31	$208.18