Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.83 / $4,233.89 / $14,943.72	Facility		$80.83	$4,233.89	$14,943.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $5,130.00	Professional		$47.55	$48.02	$5,130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $29.31 / $29.31	Professional		$29.31	$29.31	$29.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $76.56 / $118.88	Facility		$51.35	$76.56	$118.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $54.30 / $81.41	Professional		$47.55	$54.30	$81.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $47.55 / $66.56	Facility		$43.28	$47.55	$66.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $76.08	Professional		$43.28	$47.55	$76.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $44.75 / $49.95	Facility		$41.89	$44.75	$49.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $62.83	Professional		$47.55	$47.55	$62.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $53.77 / $214.52	Facility		$34.69	$53.77	$214.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $75.91	Professional		$47.55	$47.55	$75.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $47.60 / $61.81	Professional		$30.70	$47.60	$61.81
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $66.81	Professional		$47.55	$47.55	$66.81