Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.13 / $1,866.00 / $9,504.00	Facility		$310.13	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $357.43 / $752.86	Professional		$170.12	$357.43	$752.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $271.99 / $421.15	Professional		$118.38	$271.99	$421.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $194.52 / $345.84	Professional		$125.51	$194.52	$345.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $210.58 / $210.58 / $210.58	Professional		$210.58	$210.58	$210.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.08 / $178.99 / $260.63	Facility		$164.08	$178.99	$260.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.29 / $464.01 / $590.55	Professional		$361.29	$464.01	$590.55
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 $201.80 / $358.56 / $710.21	Professional		$201.80	$358.56	$710.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $313.77 / $313.77 / $313.77	Facility		$313.77	$313.77	$313.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $208.82 / $362.62 / $716.25	Professional		$208.82	$362.62	$716.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $378.83 / $575.08	Professional		$32.41	$378.83	$575.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,600.00 / $5,235.00	Facility		$1,689.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.41 / $465.19 / $769.55	Professional		$269.41	$465.19	$769.55