Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $893.04 / $3,847.00	Facility		$70.48	$893.04	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $63.26 / $139.80	Professional		$37.71	$63.26	$139.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $53.02 / $69.76	Professional		$31.50	$53.02	$69.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $54.81 / $91.42	Professional		$33.63	$54.81	$91.42
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $63.07 / $66.97	Professional		$63.07	$63.07	$66.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.01 / $46.81 / $58.52	Facility		$39.01	$46.81	$58.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $72.55 / $91.92	Professional		$57.48	$72.55	$91.92
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 $45.56 / $68.09 / $108.62	Professional		$45.56	$68.09	$108.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $500.45 / $1,613.05	Facility		$116.38	$500.45	$1,613.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $69.84 / $109.51	Professional		$46.82	$69.84	$109.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $74.80 / $126.32	Professional		$49.26	$74.80	$126.32