Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $218.57 / $325.02 / $773.93	Facility	54	$218.57	$325.02	$773.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $319.52 / $595.27	Professional		$254.75	$319.52	$595.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $372.13 / $372.13 / $372.13	Professional		$372.13	$372.13	$372.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $273.20 / $469.09	Professional		$189.52	$273.20	$469.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $385.85 / $385.85	Professional		$385.85	$385.85	$385.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $450.16 / $127,498.73	Professional		$353.69	$450.16	$127,498.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.22 / $407.97 / $596.69	Professional		$291.22	$407.97	$596.69
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $357.43 / $357.43 / $357.43	Facility	54	$357.43	$357.43	$357.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $300.48 / $414.95 / $589.80	Professional		$300.48	$414.95	$589.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $160.35 / $420.90	Professional		$32.53	$160.35	$420.90
United Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $382.14 / $642.08	Professional		$252.05	$382.14	$642.08