Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.92 / $516.22 / $9,516.00	Facility		$280.92	$516.22	$9,516.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.69 / $313.30 / $724.79	Facility	54	$210.69	$313.30	$724.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $302.63 / $534.48	Professional		$248.53	$302.63	$534.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $394.44 / $394.44 / $394.44	Professional		$394.44	$394.44	$394.44
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 $181.46 / $263.29 / $451.45	Professional		$181.46	$263.29	$451.45
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $358.33 / $358.33 / $358.33	Professional		$358.33	$358.33	$358.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.27 / $331.46 / $440.22	Facility		$258.27	$331.46	$440.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $418.05 / $127,498.73	Professional		$328.47	$418.05	$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 $278.50 / $386.70 / $556.24	Professional		$278.50	$386.70	$556.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $453.68 / $467.01 / $492.90	Facility		$453.68	$467.01	$492.90
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $345.03 / $345.03 / $345.03	Facility	54	$345.03	$345.03	$345.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $290.02 / $397.82 / $555.10	Professional		$290.02	$397.82	$555.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $194.72 / $372.78	Professional		$34.85	$194.72	$372.78
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 $232.86 / $360.55 / $570.66	Professional		$232.86	$360.55	$570.66