Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.92 / $1,000.00 / $5,135.00	Facility		$228.92	$1,000.00	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $208.18 / $361.60	Professional		$138.79	$208.18	$361.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $112.05 / $156.88	Professional		$98.17	$112.05	$156.88
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 $115.99 / $191.66 / $339.07	Professional		$115.99	$191.66	$339.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $253.24 / $263.37	Professional		$246.52	$253.24	$263.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.03 / $188.79 / $224.31	Facility		$151.03	$188.79	$224.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $302.55 / $369.09	Professional		$232.47	$302.55	$369.09
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 $141.97 / $235.31 / $404.01	Professional		$141.97	$235.31	$404.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $341.76 / $878.97	Facility		$317.45	$341.76	$878.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $223.68 / $369.78	Professional		$133.68	$223.68	$369.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $235.19 / $342.00	Professional		$175.55	$235.19	$342.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $738.00 / $2,816.00	Facility		$296.06	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.32 / $253.35 / $427.90	Professional		$187.32	$253.35	$427.90