Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.71 / $2,056.03 / $9,504.00	Facility		$225.71	$2,056.03	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.73 / $225.71 / $424.11	Professional		$124.73	$225.71	$424.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.49 / $280.92 / $300.10	Professional		$174.49	$280.92	$300.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $107.11 / $195.06	Professional		$73.30	$107.11	$195.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $141.30 / $141.30	Professional		$141.30	$141.30	$141.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.91 / $150.05 / $199.29	Facility		$116.91	$150.05	$199.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.70 / $302.52 / $127,498.73	Professional		$237.70	$302.52	$127,498.73
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 $148.79 / $247.25 / $417.02	Professional		$148.79	$247.25	$417.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $224.98 / $915.30 / $1,153.34	Facility		$224.98	$915.30	$1,153.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $150.04 / $256.91 / $424.34	Professional		$150.04	$256.91	$424.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $228.03 / $323.41	Professional		$173.49	$228.03	$323.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,048.00 / $4,132.00	Facility		$1,106.00	$2,048.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $296.70 / $497.02	Professional		$197.19	$296.70	$497.02