Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.58 / $562.14 / $3,207.00	Facility		$94.58	$562.14	$3,207.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $145.88 / $394.21	Professional		$55.64	$145.88	$394.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $59.94 / $102.70	Professional		$38.40	$59.94	$102.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.15 / $125.85 / $316.14	Professional		$53.15	$125.85	$316.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $65.63 / $87.98	Facility		$54.69	$65.63	$87.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.81 / $262.18 / $343.89	Professional		$208.81	$262.18	$343.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $21,571.00	Facility		$98.11	$98.11	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $160.32 / $400.17	Professional		$60.32	$160.32	$400.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $197.88 / $405.01	Facility		$98.11	$197.88	$405.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.90 / $160.32 / $400.17	Professional		$62.90	$160.32	$400.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $250.98 / $354.38	Professional		$186.66	$250.98	$354.38
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 $135.56 / $221.21 / $485.36	Professional		$135.56	$221.21	$485.36