Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.23 / $1,056.08 / $8,553.00	Facility		$86.23	$1,056.08	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $86.23 / $195.54	Professional		$47.74	$86.23	$195.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $97.18 / $97.18	Professional		$40.36	$97.18	$97.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $110.89 / $204.06	Professional		$57.65	$110.89	$204.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $62.62 / $85.06	Facility		$20.87	$62.62	$85.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $101.81 / $109.47	Professional		$101.81	$101.81	$109.47
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.61 / $111.06 / $213.67	Professional		$62.61	$111.06	$213.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $659.92 / $678.87	Facility		$229.63	$659.92	$678.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $115.12 / $217.87	Professional		$64.70	$115.12	$217.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $134.34 / $212.90	Professional		$92.40	$134.34	$212.90