Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.39 / $3,785.00 / $9,863.00	Facility		$716.39	$3,785.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.74 / $429.78 / $820.02	Professional		$358.74	$429.78	$820.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $422.06 / $422.06	Professional		$422.06	$422.06	$422.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.14 / $456.09 / $743.82	Professional		$346.14	$456.09	$743.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.84 / $482.35 / $597.01	Facility		$375.84	$482.35	$597.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $442.16 / $562.74 / $127,498.73	Professional		$442.16	$562.74	$127,498.73
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 $422.06 / $582.85 / $837.39	Professional		$422.06	$582.85	$837.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $479.11 / $479.11 / $479.11	Facility		$479.11	$479.11	$479.11
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $47.57 / $47.57 / $47.57	Facility	AS	$47.57	$47.57	$47.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $586.39 / $833.63	Professional		$422.06	$586.39	$833.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $365.78 / $546.47	Professional		$67.08	$365.78	$546.47
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 $350.79 / $535.48 / $872.41	Professional		$350.79	$535.48	$872.41