Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.80 / $5,338.56 / $11,263.20	Facility		$696.80	$5,338.56	$11,263.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $575.47 / $1,135.94	Professional		$389.08	$575.47	$1,135.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $435.26 / $617.54	Professional		$286.67	$435.26	$617.54
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 $314.92 / $450.12 / $739.33	Professional		$314.92	$450.12	$739.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $450.20 / $478.09 / $521.91	Professional		$450.20	$478.09	$521.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $478.09 / $597.62	Facility		$398.41	$478.09	$597.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $717.90 / $909.47	Professional		$564.79	$717.90	$909.47
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 $423.68 / $640.59 / $1,025.59	Professional		$423.68	$640.59	$1,025.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,490.39 / $3,397.07 / $7,005.87	Facility		$1,490.39	$3,397.07	$7,005.87
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $71.40 / $71.40 / $71.40	Facility	AS	$71.40	$71.40	$71.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $418.33 / $637.79 / $1,000.09	Professional		$418.33	$637.79	$1,000.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $426.16 / $714.60	Professional		$71.16	$426.16	$714.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $8,725.00	Facility		$2,233.00	$4,223.00	$8,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.46 / $736.86 / $1,214.11	Professional		$488.46	$736.86	$1,214.11