Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.75 / $2,575.00 / $9,504.00	Facility		$228.75	$2,575.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $234.19 / $433.93	Professional		$156.97	$234.19	$433.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $123.03 / $123.03	Professional		$119.59	$123.03	$123.03
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 $150.19 / $223.35 / $383.85	Professional		$150.19	$223.35	$383.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.74 / $252.98 / $252.98	Facility		$173.74	$252.98	$252.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $270.67 / $270.67	Professional		$218.71	$270.67	$270.67
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 $166.92 / $270.60 / $443.02	Professional		$166.92	$270.60	$443.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,075.95 / $1,075.95 / $1,075.95	Facility		$1,075.95	$1,075.95	$1,075.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $173.27 / $278.42 / $430.60	Professional		$173.27	$278.42	$430.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $228.48 / $353.85	Professional		$33.13	$228.48	$353.85
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 $208.15 / $277.52 / $459.58	Professional		$208.15	$277.52	$459.58