Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.70 / $2,785.00 / $9,534.00	Facility		$499.70	$2,785.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $499.70 / $874.58	Professional		$361.56	$499.70	$874.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $514.46 / $569.58	Professional		$229.67	$514.46	$569.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,264.00 / $14,996.00	Facility		$1,712.00	$3,264.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.70 / $451.62 / $769.07	Professional		$305.70	$451.62	$769.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $440.96 / $440.96 / $440.96	Professional		$440.96	$440.96	$440.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $343.59 / $440.96 / $585.66	Facility		$343.59	$440.96	$585.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.01 / $673.29 / $127,498.73	Professional		$529.01	$673.29	$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 $413.42 / $588.33 / $911.14	Professional		$413.42	$588.33	$911.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $658.20 / $658.20 / $658.20	Facility		$658.20	$658.20	$658.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $429.75 / $593.76 / $930.08	Professional		$429.75	$593.76	$930.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $385.86 / $636.45	Professional		$71.16	$385.86	$636.45
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 $414.94 / $644.32 / $1,026.64	Professional		$414.94	$644.32	$1,026.64