Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $553.66 / $10,635.00	Facility		$325.69	$553.66	$10,635.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.98 / $337.52 / $768.67	Facility	54	$226.98	$337.52	$768.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $325.69 / $588.03	Professional		$269.04	$325.69	$588.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.59 / $424.59 / $424.59	Professional		$424.59	$424.59	$424.59
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 $201.26 / $285.37 / $488.59	Professional		$201.26	$285.37	$488.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $382.96 / $382.96 / $382.96	Professional		$382.96	$382.96	$382.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.00 / $356.80 / $473.87	Facility		$278.00	$356.80	$473.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $446.78 / $127,498.73	Professional		$351.04	$446.78	$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 $300.10 / $416.26 / $600.23	Professional		$300.10	$416.26	$600.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $530.78 / $530.78 / $530.78	Facility		$530.78	$530.78	$530.78
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $371.55 / $371.55 / $371.55	Facility	54	$371.55	$371.55	$371.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $312.19 / $430.83 / $597.79	Professional		$312.19	$430.83	$597.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $227.18 / $416.69	Professional		$34.85	$227.18	$416.69
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 $253.08 / $380.10 / $621.91	Professional		$253.08	$380.10	$621.91