Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.98 / $4,679.10 / $10,635.00	Facility		$494.98	$4,679.10	$10,635.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.08 / $513.90 / $678.61	Professional		$328.08	$513.90	$678.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.94 / $502.43 / $502.43	Professional		$307.94	$502.43	$502.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.80 / $772.78 / $1,270.96	Professional		$442.80	$772.78	$1,270.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $388.98 / $388.98 / $388.98	Professional		$388.98	$388.98	$388.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $330.64 / $481.44	Facility		$303.08	$330.64	$481.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.57 / $356.57 / $486.91	Professional		$356.57	$356.57	$486.91
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 $340.35 / $510.00 / $949.15	Professional		$340.35	$510.00	$949.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $390.06 / $390.06	Facility		$390.06	$390.06	$390.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $340.35 / $524.11 / $969.20	Professional		$340.35	$524.11	$969.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $363.28 / $498.84	Professional		$277.00	$363.28	$498.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.64 / $518.29 / $852.96	Professional		$301.64	$518.29	$852.96