Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $124.58 / $2,215.30	Facility		$124.58	$124.58	$2,215.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $74.23 / $125.27	Professional		$63.30	$74.23	$125.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $65.23 / $73.11	Professional		$58.02	$65.23	$73.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $79.30 / $125.02	Professional		$57.04	$79.30	$125.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $66.45 / $66.45	Professional		$66.45	$66.45	$66.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $79.75 / $99.57	Facility		$66.45	$79.75	$99.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $86.40 / $153.90	Professional		$66.45	$86.40	$153.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $530.00 / $1,863.00	Facility		$80.95	$530.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $91.79 / $139.56	Professional		$66.34	$91.79	$139.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $593.00 / $1,863.00	Facility		$80.95	$593.00	$1,863.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $93.04 / $142.22	Professional		$66.45	$93.04	$142.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $68.35 / $100.66	Professional		$52.84	$68.35	$100.66
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $420.00 / $900.00	Facility		$300.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $78.42 / $137.46	Professional		$56.30	$78.42	$137.46