Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.40 / $2,547.00 / $10,268.00	Facility		$498.40	$2,547.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $453.09 / $847.38	Professional		$316.24	$453.09	$847.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $303.42 / $303.42	Professional		$303.42	$303.42	$303.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,528.00 / $14,996.00	Facility		$1,712.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.06 / $371.66 / $598.01	Professional		$282.06	$371.66	$598.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $383.27 / $509.03	Facility		$298.63	$383.27	$509.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.74 / $608.03 / $127,498.73	Professional		$477.74	$608.03	$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 $367.29 / $549.73 / $873.04	Professional		$367.29	$549.73	$873.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Facility		$574.91	$574.91	$574.91
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $380.07 / $549.73 / $861.30	Professional		$380.07	$549.73	$861.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.81 / $231.24 / $544.72	Professional		$66.81	$231.24	$544.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $6,522.00	Facility		$2,233.00	$4,321.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.28 / $602.40 / $979.94	Professional		$395.28	$602.40	$979.94