Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.37 / $952.26 / $4,723.00	Facility		$178.37	$952.26	$4,723.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $147.66 / $303.22	Professional		$77.84	$147.66	$303.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.49 / $45.50	Professional		$33.86	$37.49	$45.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,931.00 / $3,943.00	Facility		$777.00	$1,931.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $115.78 / $245.30	Professional		$71.29	$115.78	$245.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $97.53	Professional		$84.13	$84.13	$97.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $89.34 / $111.68	Facility		$74.45	$89.34	$111.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $220.14 / $380.91	Professional		$169.34	$220.14	$380.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $577.00 / $1,024.26	Facility		$133.93	$577.00	$1,024.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $163.72 / $328.75	Professional		$85.62	$163.72	$328.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $290.91 / $577.00 / $1,251.09	Facility		$290.91	$577.00	$1,251.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $156.26 / $327.51	Professional		$80.01	$156.26	$327.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.52 / $186.05 / $258.90	Professional		$134.52	$186.05	$258.90
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $197.10 / $339.67	Professional		$140.72	$197.10	$339.67