Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.58 / $752.66 / $4,277.31	Facility		$286.58	$752.66	$4,277.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $270.37 / $468.27	Professional		$168.58	$270.37	$468.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.27 / $139.27 / $226.19	Professional		$139.27	$139.27	$226.19
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 $144.31 / $229.63 / $412.01	Professional		$144.31	$229.63	$412.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $310.42 / $331.65 / $331.65	Professional		$310.42	$331.65	$331.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.49 / $229.36 / $272.54	Facility		$183.49	$229.36	$272.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.47 / $380.97 / $464.76	Professional		$292.47	$380.97	$464.76
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 $192.66 / $297.67 / $511.93	Professional		$192.66	$297.67	$511.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $236.50 / $618.90 / $831.23	Facility		$236.50	$618.90	$831.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.49 / $301.02 / $473.39	Professional		$183.49	$301.02	$473.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $238.37 / $388.42	Professional		$31.85	$238.37	$388.42
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 $231.16 / $308.20 / $509.37	Professional		$231.16	$308.20	$509.37