Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $346.74 / $691.83	Facility		$64.57	$346.74	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $93.33 / $194.98	Professional		$44.67	$93.33	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $93.33	Professional		$42.66	$57.54	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $100.00	Professional		$45.71	$61.66	$100.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $66.07	Facility		$39.81	$51.29	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $186.21	Professional		$81.28	$107.15	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $151.36	Professional		$47.86	$89.13	$151.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $616.60	Facility		$177.83	$263.03	$616.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $147.91	Professional		$46.77	$89.13	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $144.54	Professional		$38.90	$91.20	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $125.89	Professional		$38.02	$72.44	$125.89