Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.20 / $4,044.00 / $9,863.00	Facility		$436.20	$4,044.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.37 / $418.08 / $767.89	Professional		$227.37	$418.08	$767.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $235.53 / $235.53	Professional		$167.82	$235.53	$235.53
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 $226.98 / $403.50 / $793.72	Professional		$226.98	$403.50	$793.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $282.64	Professional		$275.57	$275.57	$282.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $240.24 / $349.82	Facility		$220.22	$240.24	$349.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.63 / $467.18 / $594.59	Professional		$343.63	$467.18	$594.59
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 $270.86 / $445.95 / $768.61	Professional		$270.86	$445.95	$768.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $421.91 / $421.91 / $421.91	Facility		$421.91	$421.91	$421.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $447.21 / $768.61	Professional		$275.57	$447.21	$768.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $425.45 / $639.29	Professional		$32.56	$425.45	$639.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,383.00 / $7,351.00	Facility		$2,647.00	$4,383.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.92 / $560.91 / $922.22	Professional		$370.92	$560.91	$922.22