Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $354.05 / $585.62	Facility		$74.90	$354.05	$585.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $79.40 / $155.00	Professional		$40.93	$79.40	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $72.58 / $81.13	Professional		$47.33	$72.58	$81.13
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 $45.55 / $57.40 / $98.82	Professional		$45.55	$57.40	$98.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $94.40 / $94.40	Professional		$94.40	$94.40	$94.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $47.72 / $59.66	Facility		$39.77	$47.72	$59.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $102.27 / $153.41	Professional		$83.90	$102.27	$153.41
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 $49.42 / $89.82 / $141.60	Professional		$49.42	$89.82	$141.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $158.15 / $243.20 / $745.34	Facility		$158.15	$243.20	$745.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $91.47 / $148.77	Professional		$48.52	$91.47	$148.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $104.97 / $150.61	Professional		$79.45	$104.97	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $102.14 / $162.62	Professional		$64.19	$102.14	$162.62