Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.27 / $2,547.00 / $9,504.00	Facility		$330.27	$2,547.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $302.01 / $587.66	Professional		$138.53	$302.01	$587.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $268.07 / $408.99	Professional		$172.39	$268.07	$408.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $155.62 / $291.86	Professional		$104.45	$155.62	$291.86
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $163.81 / $163.81	Professional		$163.81	$163.81	$163.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.63 / $139.24 / $202.75	Facility		$127.63	$139.24	$202.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.14 / $346.91 / $441.52	Professional		$265.14	$346.91	$441.52
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 $162.44 / $331.07 / $620.91	Professional		$162.44	$331.07	$620.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $244.41 / $1,522.15 / $1,628.32	Facility		$244.41	$1,522.15	$1,628.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $331.14 / $620.91	Professional		$162.44	$331.14	$620.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $262.48 / $421.90	Professional		$30.67	$262.48	$421.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.62 / $460.59 / $712.76	Professional		$292.62	$460.59	$712.76