Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.93 / $1,866.00 / $8,553.00	Facility		$66.93	$1,866.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $126.26 / $262.25	Professional		$36.34	$126.26	$262.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $52.35 / $60.52	Professional		$31.53	$52.35	$60.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $113.93 / $257.50	Professional		$36.10	$113.93	$257.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $39.08 / $39.08	Professional		$39.08	$39.08	$39.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.27 / $43.23 / $51.36	Facility		$35.27	$43.23	$51.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $171.27 / $194.63	Professional		$138.83	$171.27	$194.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $21,571.00	Facility		$62.62	$62.62	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $103.92 / $289.48	Professional		$40.38	$103.92	$289.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $171.62 / $307.06	Facility		$62.62	$171.62	$307.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.61 / $92.20 / $281.30	Professional		$40.61	$92.20	$281.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.47 / $182.27 / $254.04	Professional		$137.47	$182.27	$254.04
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 $131.63 / $209.32 / $379.49	Professional		$131.63	$209.32	$379.49