Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $4,073.80 / $12,882.50	Facility		$72.44	$4,073.80	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $9,332.54	Professional		$51.29	$52.48	$9,332.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $181.97	Facility		$54.95	$83.18	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $89.13	Professional		$51.29	$58.88	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Facility		$47.86	$47.86	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $109.65	Professional		$47.86	$47.86	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $53.70	Facility		$45.71	$45.71	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $69.18	Professional		$51.29	$51.29	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $204.17	Facility		$45.71	$51.29	$204.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $89.13	Professional		$51.29	$51.29	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $74.13	Professional		$47.86	$56.23	$74.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $112.20	Professional		$53.70	$69.18	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $51.29	Facility		$47.86	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $51.29 / $57.54	Professional		$29.51	$51.29	$57.54