Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.37 / $1,866.00 / $9,504.00	Facility		$261.37	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $333.84 / $614.61	Professional		$158.36	$333.84	$614.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.79 / $465.79 / $465.79	Professional		$465.79	$465.79	$465.79
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 $148.33 / $302.02 / $557.30	Professional		$148.33	$302.02	$557.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $404.88 / $404.88 / $404.88	Professional		$404.88	$404.88	$404.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.79 / $242.87 / $242.87	Facility		$166.79	$242.87	$242.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $394.13 / $394.13	Professional		$308.41	$394.13	$394.13
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 $158.82 / $339.06 / $627.03	Professional		$158.82	$339.06	$627.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $303.95 / $303.95	Facility		$303.95	$303.95	$303.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $171.70 / $368.53 / $631.28	Professional		$171.70	$368.53	$631.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.29 / $401.07 / $575.14	Professional		$299.29	$401.07	$575.14
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 $299.99 / $407.79 / $640.71	Professional		$299.99	$407.79	$640.71