Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $127.93 / $11,581.00	Facility		$8.71	$127.93	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $18.48 / $32.19	Professional		$6.99	$18.48	$32.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Professional		$15.71	$15.71	$15.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $16.14 / $29.83	Professional		$10.19	$16.14	$29.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $22.62 / $22.62	Professional		$22.62	$22.62	$22.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $8.76 / $9.81	Facility		$6.85	$8.76	$9.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $29.36 / $35.82	Professional		$23.93	$29.36	$35.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Professional		$21.43	$21.43	$21.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $59.10 / $102.99	Facility		$39.02	$59.10	$102.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Professional		$21.43	$21.43	$21.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $35.67 / $52.62	Professional		$25.48	$35.67	$52.62
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 $17.88 / $24.18 / $39.71	Professional		$17.88	$24.18	$39.71