Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.08 / $2,421.00 / $10,717.02	Facility		$319.08	$2,421.00	$10,717.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.37 / $336.34 / $614.49	Professional		$174.37	$336.34	$614.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $77.02 / $81.06	Professional		$77.02	$77.02	$81.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $5,770.00 / $30,285.00	Facility		$2,670.00	$5,770.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $441.88 / $706.67	Professional		$221.07	$441.88	$706.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $192.46 / $204.38 / $204.38	Professional		$192.46	$204.38	$204.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $173.72 / $252.97	Facility		$159.25	$173.72	$252.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.04 / $381.19 / $485.16	Professional		$337.04	$381.19	$485.16
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 $202.66 / $391.80 / $701.49	Professional		$202.66	$391.80	$701.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $305.94 / $305.94 / $2,272.58	Facility		$305.94	$305.94	$2,272.58
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $30.59 / $30.59 / $30.59	Facility	AS	$30.59	$30.59	$30.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $202.69 / $381.20 / $701.49	Professional		$202.69	$381.20	$701.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $421.57 / $599.31	Professional		$316.02	$421.57	$599.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $5,998.00 / $9,245.00	Facility		$2,904.00	$5,998.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.60 / $512.09 / $811.59	Professional		$340.60	$512.09	$811.59