Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.74 / $675.86 / $4,275.00	Facility		$286.74	$675.86	$4,275.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $182.54 / $271.44 / $620.04	Facility	54	$182.54	$271.44	$620.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $263.80 / $529.87	Professional		$215.47	$263.80	$529.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $338.93 / $403.96	Professional		$257.25	$338.93	$403.96
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 $157.90 / $228.79 / $389.56	Professional		$157.90	$228.79	$389.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $300.98 / $308.70 / $308.70	Professional		$300.98	$308.70	$308.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.82 / $288.54 / $383.22	Facility		$224.82	$288.54	$383.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $282.98 / $360.15 / $127,498.73	Professional		$282.98	$360.15	$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 $240.53 / $336.64 / $478.64	Professional		$240.53	$336.64	$478.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $200.29 / $413.51 / $585.78	Facility		$200.29	$413.51	$585.78
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $300.10 / $300.10 / $300.10	Facility	54	$300.10	$300.10	$300.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $252.48 / $347.29 / $476.44	Professional		$252.48	$347.29	$476.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $202.65 / $331.22	Professional		$30.67	$202.65	$331.22
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $881.00 / $2,833.00	Facility		$444.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.32 / $308.70 / $609.59	Professional		$202.32	$308.70	$609.59