Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.15 / $752.66 / $3,847.00	Facility		$240.15	$752.66	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $250.02 / $464.09	Professional		$156.06	$250.02	$464.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.38 / $205.58 / $248.75	Professional		$179.38	$205.58	$248.75
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 $132.62 / $215.10 / $378.13	Professional		$132.62	$215.10	$378.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $281.89 / $289.57 / $301.14	Professional		$281.89	$289.57	$301.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $197.68 / $234.88	Facility		$158.13	$197.68	$234.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $345.95 / $422.04	Professional		$265.85	$345.95	$422.04
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 $166.04 / $261.12 / $468.55	Professional		$166.04	$261.12	$468.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $235.22 / $677.96 / $1,075.95	Facility		$235.22	$677.96	$1,075.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $264.47 / $432.73	Professional		$158.13	$264.47	$432.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $231.98 / $368.34	Professional		$31.85	$231.98	$368.34
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 $211.01 / $278.97 / $461.58	Professional		$211.01	$278.97	$461.58