Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.31 / $1,355.33 / $8,553.00	Facility		$119.31	$1,355.33	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $112.06 / $212.63	Professional		$71.12	$112.06	$212.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $105.80 / $139.51	Professional		$105.80	$105.80	$139.51
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 $65.08 / $105.89 / $183.16	Professional		$65.08	$105.89	$183.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $111.66 / $131.37	Professional		$111.66	$111.66	$131.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $98.55 / $116.49	Facility		$78.84	$98.55	$116.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.71 / $156.94 / $191.48	Professional		$120.71	$156.94	$191.48
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 $74.11 / $122.07 / $206.07	Professional		$74.11	$122.07	$206.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $568.03 / $3,069.34	Facility		$486.98	$568.03	$3,069.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $127.89 / $210.33	Professional		$79.67	$127.89	$210.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $128.84 / $211.34	Professional		$97.90	$128.84	$211.34