Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.55 / $475.80 / $9,534.00	Facility		$243.55	$475.80	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.86 / $245.00 / $548.74	Professional		$124.86	$245.00	$548.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.69 / $270.69 / $270.69	Professional		$270.69	$270.69	$270.69
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 $94.24 / $137.90 / $241.59	Professional		$94.24	$137.90	$241.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $361.85 / $361.85 / $361.85	Professional		$361.85	$361.85	$361.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.07 / $135.35 / $197.08	Facility		$124.07	$135.35	$197.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.76 / $331.69 / $422.16	Professional		$258.76	$331.69	$422.16
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 $150.44 / $287.64 / $512.77	Professional		$150.44	$287.64	$512.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $237.21 / $339.87	Facility		$237.21	$237.21	$339.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $290.83 / $516.05	Professional		$158.09	$290.83	$516.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $262.48 / $421.90	Professional		$30.67	$262.48	$421.90
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 $221.94 / $339.17 / $590.09	Professional		$221.94	$339.17	$590.09