Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $1,000.00 / $9,504.00	Facility		$151.80	$1,000.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $162.53 / $306.33	Professional		$95.31	$162.53	$306.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $179.28 / $245.55	Professional		$126.06	$179.28	$245.55
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 $91.63 / $140.63 / $243.53	Professional		$91.63	$140.63	$243.53
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $184.17 / $184.17	Professional		$179.28	$184.17	$184.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $129.69 / $154.10	Facility		$103.75	$129.69	$154.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.48 / $220.02 / $268.42	Professional		$169.48	$220.02	$268.42
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 $101.67 / $167.77 / $294.87	Professional		$101.67	$167.77	$294.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.39 / $170.39 / $170.39	Facility		$170.39	$170.39	$170.39
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $173.75 / $272.01	Professional		$114.12	$173.75	$272.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $182.91 / $277.00	Professional		$119.79	$182.91	$277.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.00 / $1,009.00 / $3,398.00	Facility		$467.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.34 / $180.81 / $298.52	Professional		$126.34	$180.81	$298.52