Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $1,902.00 / $9,516.00	Facility		$79.89	$1,902.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $79.89 / $155.59	Professional		$59.80	$79.89	$155.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $79.02 / $84.97	Professional		$79.02	$79.02	$84.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $66.95 / $107.72	Professional		$51.59	$66.95	$107.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $77.39 / $100.42 / $161.58	Professional	50	$77.39	$100.42	$161.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.88 / $76.86 / $102.08	Facility		$59.88	$76.86	$102.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $118.96 / $127,498.73	Professional		$93.47	$118.96	$127,498.73
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 $73.73 / $105.68 / $158.90	Professional		$73.73	$105.68	$158.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $115.70	Facility		$115.70	$115.70	$115.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $106.62 / $158.90	Professional		$73.75	$106.62	$158.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $71.67 / $101.43	Professional		$54.68	$71.67	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $108.26 / $168.75	Professional		$70.55	$108.26	$168.75