Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $453.02 / $5,135.00	Facility		$4.18	$453.02	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $10.50 / $91.24	Professional		$2.98	$10.50	$91.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $0.87 / $2.19 / $3.78	Professional	52	$0.87	$2.19	$3.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.47 / $9.02	Professional		$2.45	$5.47	$9.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.83 / $6.32 / $11.02	Professional		$3.83	$6.32	$11.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.79 / $7.06	Professional		$5.77	$6.79	$7.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $2.35 / $2.78	Facility		$1.88	$2.35	$2.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.11 / $9.90	Professional		$6.61	$8.11	$9.90
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 $1.85 / $5.78 / $12.71	Professional		$1.85	$5.78	$12.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $197.35 / $357.62	Facility		$37.90	$197.35	$357.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $6.53 / $13.33	Professional		$2.25	$6.53	$13.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $2.28 / $6.06	Professional		$1.94	$2.28	$6.06
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 $4.91 / $6.95 / $10.96	Professional		$4.91	$6.95	$10.96