Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.57 / $1,058.49 / $9,504.00	Facility		$324.57	$1,058.49	$9,504.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $226.13 / $336.25 / $793.87	Facility	54	$226.13	$336.25	$793.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.76 / $330.31 / $601.04	Professional		$272.76	$330.31	$601.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $344.52 / $422.63 / $422.63	Professional		$344.52	$422.63	$422.63
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 $217.76 / $307.75 / $496.31	Professional		$217.76	$307.75	$496.31
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $389.10 / $389.10 / $389.10	Professional		$389.10	$389.10	$389.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.73 / $355.15 / $471.69	Facility		$276.73	$355.15	$471.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.68 / $453.95 / $127,498.73	Professional		$356.68	$453.95	$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 $302.63 / $419.49 / $608.66	Professional		$302.63	$419.49	$608.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $252.02 / $449.76 / $528.16	Facility		$252.02	$449.76	$528.16
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $429.15 / $616.08	Professional		$310.76	$429.15	$616.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $225.94 / $418.03	Professional		$34.85	$225.94	$418.03
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 $259.04 / $390.83 / $653.41	Professional		$259.04	$390.83	$653.41