Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.09 / $2,017.24 / $5,866.54	Facility		$156.09	$2,017.24	$5,866.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $142.84 / $258.16	Professional		$93.92	$142.84	$258.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $174.86	Professional		$72.86	$72.86	$174.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $133.69 / $232.73	Professional		$91.46	$133.69	$232.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.40 / $128.00 / $151.94	Facility		$102.40	$128.00	$151.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $196.72 / $239.98	Professional		$151.19	$196.72	$239.98
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 $98.53 / $158.55 / $264.81	Professional		$98.53	$158.55	$264.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $344.02 / $904.80 / $2,380.33	Facility		$344.02	$904.80	$2,380.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $162.81 / $261.50	Professional		$95.75	$162.81	$261.50
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 $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 $124.24 / $163.85 / $271.77	Professional		$124.24	$163.85	$271.77