Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $2,818.38 / $16,982.44	Facility		$54.95	$2,818.38	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $102.33	Professional		$46.77	$47.86	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $83.18 / $169.82	Facility		$51.29	$83.18	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $53.70 / $89.13	Professional		$46.77	$53.70	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Facility		$44.67	$44.67	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $134.90	Professional		$46.77	$46.77	$134.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $239.88	Facility		$44.67	$89.13	$239.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $239.88	Professional		$46.77	$46.77	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $66.07	Professional		$45.71	$56.23	$66.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $114.82	Professional		$48.98	$83.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $46.77 / $46.77	Facility		$45.71	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $46.77 / $56.23	Professional		$45.71	$46.77	$56.23