Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $706.80 / $7,155.00	Facility		$79.43	$706.80	$7,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $21.52 / $99.77 / $611.00	Facility	52	$21.52	$99.77	$611.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.04 / $154.41 / $346.09	Professional		$43.04	$154.41	$346.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $56.80 / $79.11	Professional		$38.54	$56.80	$79.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $143.91 / $357.22	Professional		$37.22	$143.91	$357.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $45.84 / $52.74	Professional		$45.84	$45.84	$52.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $50.71 / $60.26	Facility		$41.38	$50.71	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $201.51 / $228.99	Professional		$160.16	$201.51	$228.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $21,571.00	Facility		$73.43	$73.43	$21,571.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $131.84 / $347.46	Professional		$46.56	$131.84	$347.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $219.35 / $1,216.15	Facility		$30.40	$219.35	$1,216.15
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $58.74 / $58.74 / $58.74	Facility	52	$58.74	$58.74	$58.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $95.38 / $335.88	Professional		$45.15	$95.38	$335.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.96 / $217.73 / $304.21	Professional		$164.96	$217.73	$304.21
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 $186.99 / $249.18 / $461.84	Professional		$186.99	$249.18	$461.84