Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $1,659.97 / $8,553.00	Facility		$282.60	$1,659.97	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $258.37 / $444.65	Professional		$165.33	$258.37	$444.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $205.71 / $253.34	Professional		$128.19	$205.71	$253.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $223.74 / $390.61	Professional		$139.11	$223.74	$390.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $289.73 / $289.73 / $289.73	Professional		$289.73	$289.73	$289.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.96 / $226.20 / $268.72	Facility		$180.96	$226.20	$268.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $346.14 / $422.27	Professional		$264.83	$346.14	$422.27
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 $170.10 / $270.86 / $462.47	Professional		$170.10	$270.86	$462.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $561.95 / $838.50 / $1,509.77	Facility		$561.95	$838.50	$1,509.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $278.11 / $462.47	Professional		$160.31	$278.11	$462.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $209.23 / $346.14	Professional		$31.85	$209.23	$346.14
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 $189.94 / $288.17 / $478.50	Professional		$189.94	$288.17	$478.50