Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.36 / $2,816.00 / $9,516.00	Facility		$362.36	$2,816.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $355.62 / $643.91	Professional		$249.56	$355.62	$643.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.43 / $331.43 / $331.43	Professional		$331.43	$331.43	$331.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $211.41 / $370.81	Professional		$143.19	$211.41	$370.81
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $296.64 / $296.64 / $394.22	Professional		$296.64	$296.64	$394.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $231.14 / $296.64 / $393.99	Facility		$231.14	$296.64	$393.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $488.42 / $127,498.73	Professional		$383.76	$488.42	$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 $284.29 / $408.18 / $659.23	Professional		$284.29	$408.18	$659.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $444.78 / $444.78 / $2,751.89	Facility		$444.78	$444.78	$2,751.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $291.91 / $415.91 / $659.59	Professional		$291.91	$415.91	$659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $258.04 / $433.31	Professional		$34.77	$258.04	$433.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,201.61 / $2,251.00 / $4,922.00	Facility		$1,201.61	$2,251.00	$4,922.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.49 / $465.36 / $766.93	Professional		$300.49	$465.36	$766.93