Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.29 / $827.16 / $8,956.00	Facility		$261.29	$827.16	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $180.28 / $268.07 / $620.37	Facility	54	$180.28	$268.07	$620.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.17 / $261.29 / $481.78	Professional		$213.17	$261.29	$481.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.21 / $134.21 / $134.21	Professional		$134.21	$134.21	$134.21
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 $161.02 / $228.16 / $384.70	Professional		$161.02	$228.16	$384.70
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $308.98 / $308.98 / $308.98	Professional		$308.98	$308.98	$308.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.00 / $284.93 / $378.42	Facility		$222.00	$284.93	$378.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.23 / $360.47 / $127,498.73	Professional		$283.23	$360.47	$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 $238.34 / $332.42 / $473.85	Professional		$238.34	$332.42	$473.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $423.44 / $423.44	Facility		$423.44	$423.44	$423.44
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $296.41 / $296.41 / $296.41	Facility	54	$296.41	$296.41	$296.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $338.16 / $472.77	Professional		$249.32	$338.16	$472.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $221.88 / $338.70	Professional		$32.41	$221.88	$338.70
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 $203.54 / $308.98 / $524.37	Professional		$203.54	$308.98	$524.37