Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $296.29 / $3,847.00	Facility		$43.82	$296.29	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $48.48 / $107.84	Professional		$25.56	$48.48	$107.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $42.60 / $42.60	Professional		$42.60	$42.60	$42.60
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 $24.84 / $52.65 / $109.05	Professional		$24.84	$52.65	$109.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $29.73 / $35.32	Facility		$23.78	$29.73	$35.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $52.74 / $92.63	Professional		$44.63	$52.74	$92.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $48.69 / $88.72	Professional		$28.91	$48.69	$88.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $172.13 / $342.53	Facility		$121.35	$172.13	$342.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $50.72 / $95.48	Professional		$28.91	$50.72	$95.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $78.33 / $105.09	Professional		$57.79	$78.33	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $61.88 / $97.31	Professional		$43.31	$61.88	$97.31