Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.15 / $2,208.06 / $5,014.38	Facility		$199.15	$2,208.06	$5,014.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.02 / $158.75 / $294.73	Professional		$110.02	$158.75	$294.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $124.09 / $230.30	Professional		$83.17	$124.09	$230.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $151.87 / $261.24	Professional		$96.63	$151.87	$261.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $185.89 / $185.89	Professional		$185.89	$185.89	$185.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $159.94 / $189.62	Facility		$127.96	$159.94	$189.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $222.08 / $270.92	Professional		$170.12	$222.08	$270.92
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 $120.28 / $185.84 / $307.64	Professional		$120.28	$185.84	$307.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $800.92 / $1,174.53 / $4,138.06	Facility		$800.92	$1,174.53	$4,138.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $185.84 / $288.37	Professional		$107.76	$185.84	$288.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.79 / $184.91 / $269.15	Professional		$124.79	$184.91	$269.15
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 $128.41 / $180.10 / $301.02	Professional		$128.41	$180.10	$301.02