Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.22 / $1,406.00 / $8,299.26	Facility		$284.22	$1,406.00	$8,299.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.23 / $284.22 / $520.95	Professional		$177.23	$284.22	$520.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $250.24 / $365.37	Professional		$250.24	$250.24	$365.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,012.00 / $3,943.00	Facility		$937.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $244.20 / $439.89	Professional		$161.15	$244.20	$439.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $344.05 / $344.05 / $344.05	Professional		$344.05	$344.05	$344.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.34 / $285.89 / $285.89	Facility		$196.34	$285.89	$285.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.27 / $334.92 / $334.92	Professional		$245.27	$334.92	$334.92
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 $202.12 / $313.05 / $552.98	Professional		$202.12	$313.05	$552.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $541.49 / $626.78 / $1,377.66	Facility		$541.49	$626.78	$1,377.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $333.24 / $512.38	Professional		$204.19	$333.24	$512.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $280.85 / $440.95	Professional		$33.18	$280.85	$440.95
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $232.41 / $333.47 / $545.59	Professional		$232.41	$333.47	$545.59