Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.12 / $544.82 / $3,847.00	Facility		$309.12	$544.82	$3,847.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $212.36 / $315.77 / $748.46	Facility	54	$212.36	$315.77	$748.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $309.64 / $656.86	Professional		$259.72	$309.64	$656.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $361.96 / $415.32	Professional		$263.02	$361.96	$415.32
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 $201.85 / $290.32 / $486.84	Professional		$201.85	$290.32	$486.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $331.79 / $332.26 / $361.96	Professional		$331.79	$332.26	$361.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.88 / $332.26 / $415.32	Facility		$276.88	$332.26	$415.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $392.12 / $588.17	Professional		$309.20	$392.12	$588.17
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 $284.31 / $396.02 / $575.09	Professional		$284.31	$396.02	$575.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $205.50 / $316.58 / $507.25	Facility		$205.50	$316.58	$507.25
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $346.20 / $346.20 / $346.20	Facility	54	$346.20	$346.20	$346.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $290.72 / $407.20 / $570.82	Professional		$290.72	$407.20	$570.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $194.72 / $372.78	Professional		$34.85	$194.72	$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 $243.88 / $370.24 / $616.32	Professional		$243.88	$370.24	$616.32