Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.53 / $213.41 / $457.07	Facility		$85.53	$213.41	$457.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $92.69 / $168.91	Professional		$61.09	$92.69	$168.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $87.24 / $96.20	Professional		$74.16	$87.24	$96.20
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 $50.18 / $68.14 / $114.95	Professional		$50.18	$68.14	$114.95
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $110.20 / $110.20	Professional		$110.20	$110.20	$110.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $76.95 / $102.21	Facility		$59.96	$76.95	$102.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $130.76 / $127,498.73	Professional		$101.01	$130.76	$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 $73.75 / $109.27 / $168.32	Professional		$73.75	$109.27	$168.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $221.40 / $284.20	Facility		$114.76	$221.40	$284.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $112.04 / $168.32	Professional		$76.31	$112.04	$168.32
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 $72.54 / $112.08 / $183.04	Professional		$72.54	$112.08	$183.04