Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.45 / $1,912.50 / $7,749.36	Facility		$120.45	$1,912.50	$7,749.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $111.65 / $204.15	Professional		$70.80	$111.65	$204.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $57.71 / $112.04	Professional		$57.71	$57.71	$112.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.05 / $102.43 / $180.05	Professional		$71.05	$102.43	$180.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $130.41 / $130.41	Professional		$130.41	$130.41	$130.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $114.96 / $114.96	Facility		$78.95	$114.96	$114.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $126.96 / $126.96	Professional		$93.46	$126.96	$126.96
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 $72.84 / $120.82 / $209.67	Professional		$72.84	$120.82	$209.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $931.42 / $1,359.17 / $3,771.00	Facility		$931.42	$1,359.17	$3,771.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $129.27 / $207.10	Professional		$81.27	$129.27	$207.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $128.11 / $188.31	Professional		$89.08	$128.11	$188.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,930.00 / $4,067.00	Facility		$1,020.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $129.91 / $213.76	Professional		$90.94	$129.91	$213.76