Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $352.50 / $641.00	Facility		$76.59	$352.50	$641.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $71.66 / $126.03	Professional		$45.13	$71.66	$126.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $69.17 / $96.63	Professional		$64.17	$69.17	$96.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $1,765.00 / $3,943.00	Facility		$802.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $53.39 / $91.07	Professional		$38.79	$53.39	$91.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $58.19 / $80.09 / $136.61	Professional	50	$58.19	$80.09	$136.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $83.00 / $83.00	Professional		$78.16	$83.00	$83.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $56.84 / $71.06	Facility		$47.37	$56.84	$71.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $89.92 / $134.88	Professional		$73.88	$89.92	$134.88
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 $56.37 / $82.85 / $124.42	Professional		$56.37	$82.85	$124.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $184.20 / $312.51 / $598.80	Facility		$184.20	$312.51	$598.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.37 / $83.31 / $127.18	Professional		$56.37	$83.31	$127.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.67 / $101.43	Professional		$53.47	$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 $54.41 / $84.36 / $133.74	Professional		$54.41	$84.36	$133.74