Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $676.08 / $1,000.00	Facility		$36.31	$676.08	$1,000.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $363.08 / $676.08 / $1,000.00	Facility	25	$363.08	$676.08	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $134.90	Professional		$30.20	$53.70	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $69.18	Professional		$35.48	$47.86	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $70.79	Professional		$30.90	$43.65	$70.79
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $66.07	Professional		$38.90	$50.12	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $72.44	Facility		$39.81	$45.71	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $95.50	Professional		$39.81	$47.86	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $208.93	Facility		$50.12	$64.57	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $91.20	Professional		$37.15	$50.12	$91.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $346.74 / $602.56	Facility		$56.23	$346.74	$602.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $117.49	Professional		$36.31	$51.29	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $33.11	Professional		$23.44	$32.36	$33.11
Optum Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $70.79 / $281.84	Professional		$39.81	$70.79	$281.84
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $79.43	Professional		$38.90	$48.98	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $83.18	Professional		$32.36	$45.71	$83.18