Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.64 / $312.80 / $809.59	Facility		$93.64	$312.80	$809.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $93.64 / $218.37	Professional		$62.56	$93.64	$218.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $87.52 / $106.88	Professional		$78.31	$87.52	$106.88
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 $53.27 / $71.19 / $121.00	Professional		$53.27	$71.19	$121.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $107.79 / $110.56	Professional		$75.38	$107.79	$110.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $77.31 / $102.69	Facility		$60.25	$77.31	$102.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.34 / $128.97 / $127,498.73	Professional		$101.34	$128.97	$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 $75.38 / $109.63 / $169.83	Professional		$75.38	$109.63	$169.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $146.07 / $320.37 / $497.15	Facility		$146.07	$320.37	$497.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $112.75 / $169.83	Professional		$77.31	$112.75	$169.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
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 $73.56 / $111.56 / $182.03	Professional		$73.56	$111.56	$182.03