Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $169.82 / $465.00	Facility		$40.65	$169.82	$465.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $40.65 / $77.13	Professional		$25.62	$40.65	$77.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $52.78 / $68.09	Professional		$32.35	$52.78	$68.09
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 $22.28 / $30.15 / $51.28	Professional		$22.28	$30.15	$51.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $44.07 / $44.07	Professional		$44.07	$44.07	$44.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $32.86 / $41.09	Facility		$27.39	$32.86	$41.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $52.08 / $78.12	Professional		$42.79	$52.08	$78.12
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 $32.34 / $50.08 / $85.73	Professional		$32.34	$50.08	$85.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.56 / $187.16 / $257.36	Facility		$81.56	$187.16	$257.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $49.04 / $75.54	Professional		$32.86	$49.04	$75.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $71.67 / $101.43	Professional		$54.68	$71.67	$101.43
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 $32.27 / $49.12 / $80.88	Professional		$32.27	$49.12	$80.88