Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.11 / $2,277.75 / $8,553.00	Facility		$192.11	$2,277.75	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $153.88 / $281.45	Professional		$111.25	$153.88	$281.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $72.05 / $80.70	Professional		$72.05	$72.05	$80.70
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 $106.51 / $148.00 / $253.47	Professional		$106.51	$148.00	$253.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $186.10 / $186.10	Professional		$186.10	$186.10	$186.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.65 / $184.40 / $184.40	Facility		$126.65	$184.40	$184.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $174.19 / $174.19	Professional		$127.55	$174.19	$174.19
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 $116.71 / $182.10 / $295.83	Professional		$116.71	$182.10	$295.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.44 / $855.25 / $1,230.61	Facility		$581.44	$855.25	$1,230.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.68 / $187.50 / $290.99	Professional		$121.68	$187.50	$290.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $163.91 / $241.21	Professional		$117.45	$163.91	$241.21
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 $132.09 / $176.12 / $291.83	Professional		$132.09	$176.12	$291.83