Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.15 / $1,430.00 / $9,504.00	Facility		$102.15	$1,430.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $111.65 / $222.65	Professional		$29.65	$111.65	$222.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.74 / $26.50 / $54.02	Professional		$25.74	$26.50	$54.02
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 $32.46 / $121.04 / $295.39	Professional		$32.46	$121.04	$295.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Professional		$36.67	$36.67	$36.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $35.26 / $41.89	Facility		$28.78	$35.26	$41.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $131.84 / $149.81	Professional		$119.84	$131.84	$149.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $21,571.00	Facility		$51.10	$51.10	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $86.66 / $258.39	Professional		$32.29	$86.66	$258.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $176.41	Facility		$51.10	$51.10	$176.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $66.61 / $251.06	Professional		$32.44	$66.61	$251.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $145.95 / $203.88	Professional		$109.97	$145.95	$203.88
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 $138.19 / $195.09 / $343.10	Professional		$138.19	$195.09	$343.10