Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.98 / $741.84 / $8,956.00	Facility		$239.98	$741.84	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $174.30 / $259.18 / $570.72	Facility	54	$174.30	$259.18	$570.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $239.98 / $432.52	Professional		$200.02	$239.98	$432.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $307.85 / $307.85	Professional		$211.00	$307.85	$307.85
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 $158.10 / $229.03 / $383.87	Professional		$158.10	$229.03	$383.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $252.07 / $274.98 / $310.22	Professional		$252.07	$274.98	$310.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $284.17 / $377.42	Facility		$221.42	$284.17	$377.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.07 / $320.81 / $127,498.73	Professional		$252.07	$320.81	$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 $233.12 / $319.69 / $446.71	Professional		$233.12	$319.69	$446.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $206.30 / $206.30 / $278.24	Facility		$206.30	$206.30	$278.24
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $192.34 / $192.34 / $192.34	Facility	54	$192.34	$192.34	$192.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $236.99 / $321.95 / $446.71	Professional		$236.99	$321.95	$446.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $190.53 / $290.70	Professional		$32.41	$190.53	$290.70
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 $183.83 / $276.45 / $458.92	Professional		$183.83	$276.45	$458.92