Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.91 / $889.56 / $8,956.00	Facility		$342.91	$889.56	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.81 / $313.47 / $725.96	Facility	54	$210.81	$313.47	$725.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.28 / $304.43 / $545.58	Professional		$250.28	$304.43	$545.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $277.33 / $414.62	Professional		$183.81	$277.33	$414.62
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 $196.33 / $271.30 / $456.07	Professional		$196.33	$271.30	$456.07
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $359.28 / $359.28 / $359.28	Professional		$359.28	$359.28	$359.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.45 / $331.69 / $440.54	Facility		$258.45	$331.69	$440.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $329.34 / $419.16 / $127,498.73	Professional		$329.34	$419.16	$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 $278.06 / $386.97 / $559.32	Professional		$278.06	$386.97	$559.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $345.36 / $380.14 / $493.23	Facility		$345.36	$380.14	$493.23
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $345.26 / $345.26 / $345.26	Facility	54	$345.26	$345.26	$345.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $290.23 / $400.80 / $559.21	Professional		$290.23	$400.80	$559.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $195.89 / $372.78	Professional		$34.77	$195.89	$372.78
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 $235.96 / $362.19 / $596.44	Professional		$235.96	$362.19	$596.44