Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $882.00 / $7,148.02	Facility		$76.43	$882.00	$7,148.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $45.05 / $61.85	Professional		$35.26	$45.05	$61.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $34.70 / $57.83	Facility		$0.03	$34.70	$57.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $49.90 / $72.98	Professional		$41.80	$49.90	$72.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $128.10 / $128.10	Facility		$123.36	$128.10	$128.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $119.78	Facility		$88.54	$88.54	$119.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.79 / $63.37 / $119.78	Facility		$46.79	$63.37	$119.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $42.84 / $48.76	Professional		$42.76	$42.84	$48.76