Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.20 / $1,883.00 / $9,516.00	Facility		$205.20	$1,883.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $230.30 / $406.79	Professional		$193.36	$230.30	$406.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.03 / $227.03 / $270.18	Professional		$227.03	$227.03	$270.18
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 $144.25 / $208.63 / $349.37	Professional		$144.25	$208.63	$349.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $272.44 / $272.44	Professional		$272.44	$272.44	$272.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.26 / $219.55 / $319.70	Facility		$201.26	$219.55	$319.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $171.69 / $249.73 / $317.83	Professional		$171.69	$249.73	$317.83
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 $214.58 / $296.25 / $429.99	Professional		$214.58	$296.25	$429.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $383.97 / $383.97 / $383.97	Facility		$383.97	$383.97	$383.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.01 / $306.49 / $426.41	Professional		$226.01	$306.49	$426.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $174.13 / $287.87	Professional		$32.41	$174.13	$287.87
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 $175.35 / $268.95 / $454.57	Professional		$175.35	$268.95	$454.57