Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $289.10 / $4,723.00	Facility		$45.22	$289.10	$4,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.99 / $52.67 / $102.44	Professional		$26.99	$52.67	$102.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $60.24 / $73.33	Professional		$35.92	$60.24	$73.33
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 $22.93 / $42.08 / $76.50	Professional		$22.93	$42.08	$76.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $57.62 / $61.56	Professional		$27.01	$57.62	$61.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $34.54 / $40.88	Facility		$27.63	$34.54	$40.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.50 / $70.70 / $86.26	Professional		$54.50	$70.70	$86.26
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 $27.07 / $50.50 / $91.66	Professional		$27.07	$50.50	$91.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $140.26 / $376.75	Facility		$67.33	$140.26	$376.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $51.94 / $87.54	Professional		$30.39	$51.94	$87.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $398.88 / $965.00 / $2,914.00	Facility		$398.88	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $57.48 / $93.04	Professional		$42.23	$57.48	$93.04