Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.14 / $951.00 / $9,496.00	Facility		$302.14	$951.00	$9,496.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $211.15 / $313.98 / $726.06	Facility	54	$211.15	$313.98	$726.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.62 / $302.14 / $554.61	Professional		$251.62	$302.14	$554.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $466.10 / $466.10 / $466.10	Professional		$466.10	$466.10	$466.10
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 $186.37 / $268.98 / $453.01	Professional		$186.37	$268.98	$453.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $356.98 / $356.98 / $356.98	Professional		$356.98	$356.98	$356.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $332.93 / $442.17	Facility		$259.39	$332.93	$442.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $327.23 / $416.47 / $127,498.73	Professional		$327.23	$416.47	$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 $280.47 / $388.41 / $560.84	Professional		$280.47	$388.41	$560.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $153.13 / $495.31	Facility		$153.13	$153.13	$495.31
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $346.72 / $346.72 / $346.72	Facility	54	$346.72	$346.72	$346.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $291.31 / $401.59 / $558.03	Professional		$291.31	$401.59	$558.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $195.89 / $372.78	Professional		$34.77	$195.89	$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 $235.26 / $361.63 / $600.80	Professional		$235.26	$361.63	$600.80