Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.64 / $832.00 / $9,496.00	Facility		$267.64	$832.00	$9,496.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.55 / $286.32 / $638.38	Facility	54	$192.55	$286.32	$638.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.51 / $267.64 / $496.89	Professional		$227.51	$267.64	$496.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $360.46 / $360.46	Professional		$243.62	$360.46	$360.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.60 / $248.62 / $413.69	Professional		$178.60	$248.62	$413.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $316.00 / $316.00	Professional		$316.00	$316.00	$316.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.02 / $302.89 / $374.91	Facility		$236.02	$302.89	$374.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.66 / $368.66 / $127,498.73	Professional		$289.66	$368.66	$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 $257.64 / $353.39 / $503.18	Professional		$257.64	$353.39	$503.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.50 / $390.41 / $450.36	Facility		$238.50	$390.41	$450.36
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $315.25 / $315.25 / $315.25	Facility	54	$315.25	$315.25	$315.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $355.49 / $504.12	Professional		$263.33	$355.49	$504.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $136.92 / $384.07	Professional		$32.53	$136.92	$384.07
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 $208.69 / $314.30 / $523.23	Professional		$208.69	$314.30	$523.23