Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.62 / $440.64 / $4,642.34	Facility		$67.62	$440.64	$4,642.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $61.92 / $117.46	Professional		$38.17	$61.92	$117.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $60.46 / $82.31	Professional		$56.15	$60.46	$82.31
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 $35.22 / $54.68 / $89.39	Professional		$35.22	$54.68	$89.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $72.55 / $72.55	Professional		$66.51	$72.55	$72.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $48.69 / $62.32	Facility		$38.95	$48.69	$62.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $75.58 / $138.13	Professional		$60.46	$75.58	$138.13
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 $45.02 / $69.59 / $108.83	Professional		$45.02	$69.59	$108.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $345.78 / $850.28	Facility		$70.06	$345.78	$850.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $71.95 / $109.40	Professional		$46.74	$71.95	$109.40
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 $47.35 / $72.55 / $120.77	Professional		$47.35	$72.55	$120.77