Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $253.00 / $10,268.00	Facility		$66.81	$253.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.50 / $178.71	Professional		$38.90	$79.50	$178.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $103.10 / $144.34	Professional		$67.79	$103.10	$144.34
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 $34.88 / $61.90 / $133.82	Professional		$34.88	$61.90	$133.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $121.16 / $121.16	Professional		$99.03	$121.16	$121.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $53.00 / $62.68	Facility		$42.40	$53.00	$62.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $139.19 / $169.80	Professional		$107.72	$139.19	$169.80
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 $41.48 / $92.57 / $164.13	Professional		$41.48	$92.57	$164.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $140.21 / $140.21	Facility		$140.21	$140.21	$140.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $94.80 / $160.19	Professional		$44.52	$94.80	$160.19
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 $78.08 / $118.73 / $195.18	Professional		$78.08	$118.73	$195.18