Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.71 / $4,044.00 / $9,504.00	Facility		$714.71	$4,044.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $439.10 / $949.85	Professional		$368.44	$439.10	$949.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.51 / $602.51 / $602.51	Professional		$602.51	$602.51	$602.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.06 / $457.30 / $744.40	Professional		$347.06	$457.30	$744.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.56 / $482.00 / $596.59	Facility		$375.56	$482.00	$596.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.84 / $562.34 / $127,498.73	Professional		$441.84	$562.34	$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 $421.75 / $582.41 / $841.82	Professional		$421.75	$582.41	$841.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $478.75 / $478.75 / $478.75	Facility		$478.75	$478.75	$478.75
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $47.50 / $47.50 / $47.50	Facility	AS	$47.50	$47.50	$47.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $421.75 / $586.46 / $832.51	Professional		$421.75	$586.46	$832.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $338.24 / $522.33	Professional		$67.21	$338.24	$522.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.75 / $528.03 / $883.20	Professional		$338.75	$528.03	$883.20