Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $752.66 / $4,275.00	Facility		$267.94	$752.66	$4,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.87 / $285.64 / $497.21	Professional		$171.87	$285.64	$497.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.93 / $172.34 / $433.22	Professional		$130.93	$172.34	$433.22
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 $146.68 / $235.88 / $419.35	Professional		$146.68	$235.88	$419.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $324.57 / $324.57 / $337.55	Professional		$324.57	$324.57	$337.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $233.80 / $277.81	Facility		$187.04	$233.80	$277.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $387.76 / $473.04	Professional		$297.39	$387.76	$473.04
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 $196.39 / $304.52 / $522.79	Professional		$196.39	$304.52	$522.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $585.89 / $1,085.23	Facility		$319.44	$585.89	$1,085.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $183.30 / $301.58 / $473.93	Professional		$183.30	$301.58	$473.93
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 $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.42 / $312.89 / $528.92	Professional		$228.42	$312.89	$528.92