Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.88 / $679.70 / $6,582.00	Facility		$269.88	$679.70	$6,582.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.92 / $246.72 / $532.17	Facility	54	$165.92	$246.72	$532.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $236.81 / $480.94	Professional		$191.87	$236.81	$480.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.99 / $218.32 / $251.07	Professional		$200.99	$218.32	$251.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $210.16 / $360.40	Professional		$149.75	$210.16	$360.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $261.98 / $261.98 / $268.00	Professional		$261.98	$261.98	$268.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $208.81 / $268.00 / $355.94	Facility		$208.81	$268.00	$355.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.15 / $305.64 / $127,498.73	Professional		$240.15	$305.64	$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 $219.18 / $301.64 / $421.89	Professional		$219.18	$301.64	$421.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $197.16 / $354.61 / $491.06	Facility		$197.16	$354.61	$491.06
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $183.20 / $183.20 / $183.20	Facility	54	$183.20	$183.20	$183.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $221.85 / $305.64 / $421.89	Professional		$221.85	$305.64	$421.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $164.76 / $257.25	Professional		$30.67	$164.76	$257.25
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $261.98 / $433.38	Professional		$171.09	$261.98	$433.38