Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.00 / $2,989.00 / $11,581.00	Facility		$609.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $204.78 / $426.17	Professional		$142.19	$204.78	$426.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $263.33 / $263.33	Professional		$263.33	$263.33	$263.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $207.81	Professional		$0.02	$0.02	$207.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.79 / $2,983.50 / $6,712.88	Facility		$218.79	$2,983.50	$6,712.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.24 / $3,423.57 / $6,041.60	Professional		$228.24	$3,423.57	$6,041.60
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
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $238.87 / $238.87	Facility		$238.87	$238.87	$238.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.46 / $365.02 / $996.25	Professional		$335.46	$365.02	$996.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $273.51 / $557.17	Professional		$148.40	$273.51	$557.17