Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $445.56 / $3,847.00	Facility		$51.55	$445.56	$3,847.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $72.98 / $160.59	Professional		$24.35	$72.98	$160.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $30.62 / $54.31	Professional		$28.35	$30.62	$54.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.00 / $1,765.00 / $3,943.00	Facility		$777.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $39.45 / $94.25	Professional		$21.59	$39.45	$94.25
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $43.03 / $43.03	Facility		$43.03	$43.03	$43.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $40.03 / $49.23	Facility		$32.54	$40.03	$49.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $122.20 / $149.08	Professional		$94.93	$122.20	$149.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.73 / $76.41 / $133.07	Professional		$31.73	$76.41	$133.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.21 / $364.07 / $669.77	Facility		$192.21	$364.07	$669.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $74.75 / $138.78	Professional		$32.69	$74.75	$138.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $110.13 / $155.52	Professional		$81.79	$110.13	$155.52
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $83.82 / $102.93	Professional		$47.80	$83.82	$102.93