Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.53 / $5,006.12 / $10,451.67	Facility		$739.53	$5,006.12	$10,451.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.06 / $424.04 / $974.08	Professional		$344.06	$424.04	$974.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.51 / $348.51 / $348.51	Professional		$348.51	$348.51	$348.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.03 / $442.76 / $719.69	Professional		$336.03	$442.76	$719.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $465.34 / $465.34 / $465.34	Professional		$465.34	$465.34	$465.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.57 / $465.34 / $618.03	Facility		$362.57	$465.34	$618.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.56 / $542.89 / $127,498.73	Professional		$426.56	$542.89	$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 $407.17 / $562.29 / $813.74	Professional		$407.17	$562.29	$813.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $4,756.80 / $7,621.20	Facility		$462.38	$4,756.80	$7,621.20
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $45.93 / $45.93 / $45.93	Facility	AS	$45.93	$45.93	$45.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $407.17 / $565.52 / $804.71	Professional		$407.17	$565.52	$804.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $333.99 / $504.28	Professional		$67.21	$333.99	$504.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,647.00 / $4,404.00 / $7,351.00	Facility		$2,647.00	$4,404.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.27 / $509.64 / $818.47	Professional		$323.27	$509.64	$818.47