Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $9,769.00 / $44,350.85	Facility		$67.34	$9,769.00	$44,350.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $60.89 / $13,440.00	Professional		$60.28	$60.89	$13,440.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $60.29	Professional		$58.56	$60.29	$60.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.11 / $97.07 / $150.72	Facility		$65.11	$97.07	$150.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $68.42 / $101.64	Professional		$60.29	$68.42	$101.64
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $142.88 / $142.88 / $142.88	Facility		$142.88	$142.88	$142.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $78.98	Professional		$60.29	$60.29	$78.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $60.29 / $87.84	Facility		$58.56	$60.29	$87.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $60.29 / $96.46	Professional		$58.56	$60.29	$96.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $60.29 / $82.94	Facility		$56.88	$60.29	$82.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $76.79	Professional		$60.29	$60.29	$76.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $85.20 / $170.37	Facility		$56.88	$85.20	$170.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $85.32	Professional		$60.29	$60.29	$85.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $68.25 / $84.91	Professional		$59.35	$68.25	$84.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.91 / $73.80	Professional		$60.29	$63.91	$73.80