Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.69 / $700.00 / $8,553.00	Facility		$63.69	$700.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $100.03 / $201.50	Professional		$38.78	$100.03	$201.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $33.01 / $46.21	Professional		$32.04	$33.01	$46.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $121.95 / $216.52	Professional		$57.17	$121.95	$216.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $31.71 / $31.71	Professional		$31.71	$31.71	$31.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $49.03 / $52.61	Facility		$33.67	$49.03	$52.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.40 / $131.63 / $204.57	Professional		$115.40	$131.63	$204.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $21,571.00	Facility		$59.84	$59.84	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $114.33 / $217.51	Professional		$39.22	$114.33	$217.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $130.62	Facility		$59.84	$59.84	$130.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $110.16 / $217.51	Professional		$39.29	$110.16	$217.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $145.34 / $201.79	Professional		$109.81	$145.34	$201.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.81 / $148.68 / $280.83	Professional		$112.81	$148.68	$280.83