Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.11 / $951.00 / $8,956.00	Facility		$328.11	$951.00	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.66 / $338.53 / $792.70	Facility	54	$227.66	$338.53	$792.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $326.99 / $613.73	Professional		$276.68	$326.99	$613.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $322.70 / $322.70 / $373.87	Professional		$322.70	$322.70	$373.87
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 $212.75 / $302.26 / $493.48	Professional		$212.75	$302.26	$493.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $387.25 / $387.25 / $387.25	Professional		$387.25	$387.25	$387.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.14 / $358.25 / $443.42	Facility		$279.14	$358.25	$443.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.98 / $451.79 / $127,498.73	Professional		$354.98	$451.79	$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 $303.48 / $419.77 / $611.32	Professional		$303.48	$419.77	$611.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $150.78 / $441.35 / $533.14	Facility		$150.78	$441.35	$533.14
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $373.20 / $373.20 / $373.20	Facility	54	$373.20	$373.20	$373.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $313.47 / $431.52 / $606.09	Professional		$313.47	$431.52	$606.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $227.18 / $416.69	Professional		$34.85	$227.18	$416.69
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 $256.57 / $391.04 / $653.87	Professional		$256.57	$391.04	$653.87