Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $916.80 / $8,956.00	Facility		$140.54	$916.80	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $133.11 / $219.10	Professional		$90.41	$133.11	$219.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $115.79 / $166.00	Professional		$104.31	$115.79	$166.00
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 $78.80 / $113.64 / $223.28	Professional		$78.80	$113.64	$223.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $133.97 / $133.97	Professional		$133.97	$133.97	$133.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.11 / $123.11 / $140.66	Facility		$95.11	$123.11	$140.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.51 / $130.43 / $154.13	Professional		$102.51	$130.43	$154.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $78.13 / $21,571.00	Facility		$70.06	$78.13	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $146.90 / $270.00	Professional		$97.23	$146.90	$270.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $78.13 / $497.52	Facility		$70.06	$78.13	$497.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $151.01 / $245.35	Professional		$100.79	$151.01	$245.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $112.03 / $153.71	Professional		$81.79	$112.03	$153.71
United Facility/Professional Facility Modifier Low / Median / High Price $220.98 / $716.00 / $2,313.00	Facility		$220.98	$716.00	$2,313.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $141.90 / $293.33	Professional		$109.04	$141.90	$293.33