Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $3,027.00 / $8,913.00	Facility		$550.95	$3,027.00	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $519.69 / $985.85	Professional		$318.95	$519.69	$985.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.23 / $478.08 / $478.08	Professional		$292.23	$478.08	$478.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.77 / $369.06 / $615.24	Professional		$250.77	$369.06	$615.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $382.46 / $382.46 / $567.27	Professional		$382.46	$382.46	$567.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.00 / $325.08 / $473.39	Facility		$298.00	$325.08	$473.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.41 / $552.21 / $702.81	Professional		$406.41	$552.21	$702.81
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 $366.53 / $552.21 / $912.33	Professional		$366.53	$552.21	$912.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $569.77 / $569.77	Facility		$569.77	$569.77	$569.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $374.60 / $561.49 / $912.33	Professional		$374.60	$561.49	$912.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $384.50 / $654.76	Professional		$34.85	$384.50	$654.76
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 $440.01 / $677.29 / $1,033.43	Professional		$440.01	$677.29	$1,033.43