Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $311.76 / $3,847.00	Facility		$58.32	$311.76	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $89.89 / $209.27	Professional		$40.00	$89.89	$209.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $54.22 / $134.88	Professional		$17.62	$54.22	$134.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $50.27 / $127.48	Professional		$25.03	$50.27	$127.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $151.27	Professional		$50.74	$50.74	$151.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $46.48 / $57.80	Facility		$38.72	$46.48	$57.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $133.86 / $230.26	Professional		$102.97	$133.86	$230.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $69.44 / $21,571.00	Facility		$50.00	$69.44	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $96.81 / $195.07	Professional		$42.08	$96.81	$195.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $177.64 / $366.40	Facility		$55.76	$177.64	$366.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $100.34 / $195.07	Professional		$44.54	$100.34	$195.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $149.42 / $208.17	Professional		$108.45	$149.42	$208.17
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $114.30 / $201.45	Professional		$77.38	$114.30	$201.45