Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.20 / $1,775.12 / $8,553.00	Facility		$296.20	$1,775.12	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $288.11 / $512.63	Professional		$164.19	$288.11	$512.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $342.35 / $342.35 / $399.41	Professional		$342.35	$342.35	$399.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,492.00 / $8,800.00	Facility		$918.00	$2,492.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $217.61 / $395.06	Professional		$132.62	$217.61	$395.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $216.62 / $216.62 / $216.62	Professional		$216.62	$216.62	$216.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $198.43 / $245.60	Facility		$165.36	$198.43	$245.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $313.82 / $370.88	Professional		$206.70	$313.82	$370.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.35 / $577.00 / $2,844.48	Facility		$296.35	$577.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.90 / $301.11 / $515.40	Professional		$181.90	$301.11	$515.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $577.00 / $2,119.01	Facility		$366.00	$577.00	$2,119.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $190.16 / $313.82 / $513.53	Professional		$190.16	$313.82	$513.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $265.59 / $402.47	Professional		$34.34	$265.59	$402.47
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 $231.08 / $331.07 / $585.65	Professional		$231.08	$331.07	$585.65