Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $78.15 / $200.69	Facility		$43.39	$78.15	$200.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $59.33 / $109.14	Professional		$41.24	$59.33	$109.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $52.70 / $52.70	Professional		$52.70	$52.70	$52.70
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 $36.68 / $49.28 / $78.37	Professional		$36.68	$49.28	$78.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.42 / $43.01 / $62.61	Facility		$39.42	$43.01	$62.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $67.12 / $85.43	Professional		$51.85	$67.12	$85.43
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 $50.17 / $73.28 / $113.20	Professional		$50.17	$73.28	$113.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $75.72 / $75.72	Facility		$75.72	$75.72	$75.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $75.06 / $114.70	Professional		$50.59	$75.06	$114.70
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 $316.76 / $881.00 / $2,833.00	Facility		$316.76	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $76.06 / $122.52	Professional		$49.56	$76.06	$122.52