Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $252.00 / $11,581.00	Facility		$65.97	$252.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $105.06 / $209.73	Professional		$55.89	$105.06	$209.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.99 / $148.99 / $148.99	Professional		$148.99	$148.99	$148.99
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 $55.62 / $90.71 / $175.83	Professional		$55.62	$90.71	$175.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $119.26 / $145.91	Professional		$119.26	$119.26	$145.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.32 / $86.37 / $86.37	Facility		$59.32	$86.37	$86.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $136.58 / $136.58	Professional		$103.26	$136.58	$136.58
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 $56.99 / $117.76 / $208.07	Professional		$56.99	$117.76	$208.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $124.44 / $208.66	Professional		$61.06	$124.44	$208.66
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 $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.91 / $145.82 / $242.89	Professional		$91.91	$145.82	$242.89