Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.19 / $348.00 / $3,443.00	Facility		$60.19	$348.00	$3,443.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $12.60 / $30.73 / $97.21	Facility	52	$12.60	$30.73	$97.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $60.19 / $137.82	Professional		$25.20	$60.19	$137.82
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.60 / $30.10 / $42.11	Professional	52	$12.60	$30.10	$42.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.38 / $67.38 / $67.38	Professional		$67.38	$67.38	$67.38
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 $24.60 / $60.64 / $119.28	Professional		$24.60	$60.64	$119.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.30 / $34.81	Facility		$23.44	$29.30	$34.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $73.00 / $126.54	Professional		$61.77	$73.00	$126.54
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 $28.10 / $63.43 / $121.74	Professional		$28.10	$63.43	$121.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $121.44 / $179.52 / $362.70	Facility		$121.44	$179.52	$362.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $64.56 / $121.74	Professional		$28.13	$64.56	$121.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $78.33 / $105.09	Professional		$58.12	$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 $59.17 / $82.71 / $129.29	Professional		$59.17	$82.71	$129.29