Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.06 / $943.87 / $8,956.00	Facility		$321.06	$943.87	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.83 / $331.34 / $768.32	Facility	54	$222.83	$331.34	$768.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $321.06 / $580.52	Professional		$266.30	$321.06	$580.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.62 / $291.62 / $490.48	Professional		$291.62	$291.62	$490.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $291.10 / $482.59	Professional		$211.48	$291.10	$482.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $350.34 / $378.28 / $378.28	Professional		$350.34	$378.28	$378.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.98 / $350.34 / $465.30	Facility		$272.98	$350.34	$465.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $346.75 / $441.32 / $127,498.73	Professional		$346.75	$441.32	$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 $294.74 / $408.72 / $590.25	Professional		$294.74	$408.72	$590.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $248.68 / $381.06 / $520.98	Facility		$248.68	$381.06	$520.98
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $364.69 / $364.69 / $364.69	Facility	54	$364.69	$364.69	$364.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $306.54 / $423.32 / $589.33	Professional		$306.54	$423.32	$589.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $162.10 / $420.90	Professional		$32.53	$162.10	$420.90
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 $250.37 / $380.73 / $632.54	Professional		$250.37	$380.73	$632.54