Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.91 / $4,108.26 / $9,504.00	Facility		$687.91	$4,108.26	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.64 / $361.77 / $842.08	Professional		$292.64	$361.77	$842.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.24 / $380.40 / $463.09	Professional		$314.24	$380.40	$463.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $418.05 / $687.04	Professional		$321.08	$418.05	$687.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $387.01 / $396.94 / $396.94	Professional		$387.01	$396.94	$396.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.27 / $396.94 / $527.17	Facility		$309.27	$396.94	$527.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.86 / $463.09 / $127,498.73	Professional		$363.86	$463.09	$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 $335.57 / $463.09 / $663.35	Professional		$335.57	$463.09	$663.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,027.34 / $1,737.73 / $4,407.30	Facility		$1,027.34	$1,737.73	$4,407.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $335.57 / $478.09 / $673.92	Professional		$335.57	$478.09	$673.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $236.12 / $456.86	Professional		$34.85	$236.12	$456.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $421.58 / $674.56	Professional		$281.20	$421.58	$674.56