Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $301.60 / $9,496.00	Facility		$70.37	$301.60	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $67.45 / $115.69	Professional		$50.18	$67.45	$115.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $108.23 / $108.23	Professional	50	$108.23	$108.23	$108.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.96 / $57.75 / $80.73	Professional		$44.96	$57.75	$80.73
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 $43.95 / $66.61 / $136.36	Professional		$43.95	$66.61	$136.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $65.92 / $99.91 / $204.54	Professional	50	$65.92	$99.91	$204.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $70.17 / $70.17	Professional		$70.17	$70.17	$70.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $60.05 / $73.62	Facility		$46.19	$60.05	$73.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $77.25 / $102.27	Professional		$62.10	$77.25	$102.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $83.48 / $21,571.00	Facility		$83.48	$83.48	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $76.40 / $146.57	Professional		$48.50	$76.40	$146.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.23 / $218.23 / $316.52	Facility		$218.23	$218.23	$316.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $77.63 / $138.90	Professional		$50.81	$77.63	$138.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $75.89 / $102.58	Professional		$54.68	$75.89	$102.58
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $77.29 / $145.41	Professional		$59.59	$77.29	$145.41