Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $310.14 / $3,847.00	Facility		$57.52	$310.14	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $73.81 / $114.59	Professional		$48.35	$73.81	$114.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $66.13 / $87.30	Professional		$53.01	$66.13	$87.30
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 $37.57 / $61.33 / $102.83	Professional		$37.57	$61.33	$102.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $70.47 / $73.29	Professional		$59.90	$70.47	$73.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.87 / $63.59 / $74.66	Facility		$50.87	$63.59	$74.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $84.19 / $102.70	Professional		$65.84	$84.19	$102.70
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 $47.56 / $71.72 / $120.43	Professional		$47.56	$71.72	$120.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $105.70 / $216.94	Facility		$39.57	$105.70	$216.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $68.59 / $118.25	Professional		$43.83	$68.59	$118.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $54.03 / $91.54	Professional		$29.62	$54.03	$91.54
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 $52.47 / $70.16 / $115.63	Professional		$52.47	$70.16	$115.63