Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.48 / $3,707.00 / $9,534.00	Facility		$424.48	$3,707.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $403.58 / $723.75	Professional		$275.23	$403.58	$723.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.35 / $280.08 / $280.08	Professional		$260.35	$280.08	$280.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.74 / $241.90 / $420.12	Professional		$164.74	$241.90	$420.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $316.49 / $316.49	Professional		$316.49	$316.49	$316.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $261.88 / $336.10 / $446.39	Facility		$261.88	$336.10	$446.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.27 / $548.88 / $127,498.73	Professional		$431.27	$548.88	$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 $322.08 / $466.55 / $734.56	Professional		$322.08	$466.55	$734.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $504.27 / $504.27 / $504.27	Facility		$504.27	$504.27	$504.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $330.20 / $470.47 / $741.92	Professional		$330.20	$470.47	$741.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $267.38 / $496.84	Professional		$34.77	$267.38	$496.84
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 $336.26 / $526.46 / $847.49	Professional		$336.26	$526.46	$847.49