Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $388.54 / $844.98	Facility		$123.75	$388.54	$844.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $123.75 / $208.02	Professional		$95.54	$123.75	$208.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $102.04 / $114.56	Professional		$88.13	$102.04	$114.56
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 $90.90 / $119.78 / $203.20	Professional		$90.90	$119.78	$203.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $144.55 / $144.55	Professional		$144.55	$144.55	$144.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $111.31 / $139.13	Facility		$92.76	$111.31	$139.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.40 / $156.60 / $234.90	Professional		$129.40	$156.60	$234.90
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 $109.96 / $160.97 / $232.64	Professional		$109.96	$160.97	$232.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $471.80 / $851.85	Facility		$167.40	$471.80	$851.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $159.84 / $240.27	Professional		$109.96	$159.84	$240.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.95 / $142.18 / $202.87	Professional		$106.95	$142.18	$202.87
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 $107.40 / $164.36 / $264.20	Professional		$107.40	$164.36	$264.20