Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $295.70 / $844.98	Facility		$72.52	$295.70	$844.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $73.17 / $142.11	Professional		$52.21	$73.17	$142.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $68.06 / $87.27	Professional		$68.06	$68.06	$87.27
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 $53.60 / $69.68 / $120.15	Professional		$53.60	$69.68	$120.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.40 / $104.52 / $180.23	Professional	50	$80.40	$104.52	$180.23
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $85.98 / $85.98	Professional		$85.98	$85.98	$85.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $61.58 / $81.80	Facility		$47.98	$61.58	$81.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $102.53 / $127,498.73	Professional		$78.81	$102.53	$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 $60.90 / $92.51 / $143.13	Professional		$60.90	$92.51	$143.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $245.66 / $416.63	Facility		$197.18	$245.66	$416.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $92.43 / $143.13	Professional		$61.58	$92.43	$143.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $72.25 / $101.43	Professional		$54.68	$72.25	$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 $62.65 / $96.73 / $150.04	Professional		$62.65	$96.73	$150.04