Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.07 / $177.29 / $465.00	Facility		$53.07	$177.29	$465.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $20.53 / $69.62	Professional		$10.32	$20.53	$69.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $11.04 / $13.69	Professional		$8.39	$11.04	$13.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,398.00 / $2,170.00	Facility		$937.00	$1,398.00	$2,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $23.16 / $46.54	Professional		$13.19	$23.16	$46.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $15.26	Professional		$11.74	$11.74	$15.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $12.47 / $15.59	Facility		$10.39	$12.47	$15.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $12.99 / $17.11	Professional		$10.39	$12.99	$17.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $75.00 / $21,571.00	Facility		$54.00	$75.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $24.48 / $57.08	Professional		$15.76	$24.48	$57.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.41 / $100.03 / $192.97	Facility		$48.41	$100.03	$192.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $17.30 / $31.10	Professional		$9.47	$17.30	$31.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.03 / $10.03 / $11.80	Professional		$10.03	$10.03	$11.80
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,398.00	Facility		$444.00	$1,009.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $16.07 / $28.53	Professional		$9.61	$16.07	$28.53