Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.77 / $2,833.00 / $11,589.24	Facility		$258.77	$2,833.00	$11,589.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $141.52 / $284.31	Professional		$127.28	$141.52	$284.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.96 / $136.80 / $212.04	Professional		$129.96	$136.80	$212.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $167.90 / $270.85	Professional		$122.77	$167.90	$270.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $164.16 / $164.16	Professional		$164.16	$164.16	$164.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $164.16 / $205.20	Facility		$136.80	$164.16	$205.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $177.84 / $225.30	Professional		$136.80	$177.84	$225.30
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 $143.63 / $198.37 / $289.04	Professional		$143.63	$198.37	$289.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $163.66 / $163.66 / $163.66	Facility		$163.66	$163.66	$163.66
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $16.03 / $16.03 / $16.03	Facility	AS	$16.03	$16.03	$16.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.63 / $208.37 / $288.44	Professional		$143.63	$208.37	$288.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.93 / $183.50 / $252.66	Professional		$135.93	$183.50	$252.66
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 $117.83 / $180.06 / $298.89	Professional		$117.83	$180.06	$298.89