Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $2,549.46 / $7,579.48	Facility		$337.02	$2,549.46	$7,579.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $300.64 / $520.95	Professional		$212.77	$300.64	$520.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.22 / $252.22 / $252.22	Professional		$252.22	$252.22	$252.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.14 / $257.64 / $460.33	Professional		$186.14	$257.64	$460.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.84 / $349.25 / $349.25	Facility		$239.84	$349.25	$349.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $326.39 / $326.39	Professional		$233.25	$326.39	$326.39
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 $219.86 / $322.26 / $540.82	Professional		$219.86	$322.26	$540.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $753.36 / $1,644.40 / $6,125.25	Facility		$753.36	$1,644.40	$6,125.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $235.14 / $353.16 / $557.49	Professional		$235.14	$353.16	$557.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $300.05 / $449.38	Professional		$33.75	$300.05	$449.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.23 / $327.33 / $546.57	Professional		$236.23	$327.33	$546.57