Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.71 / $2,895.00 / $9,430.34	Facility		$519.71	$2,895.00	$9,430.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.33 / $472.57 / $841.96	Professional		$329.33	$472.57	$841.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.72 / $383.07 / $499.56	Professional		$341.72	$383.07	$499.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $290.45 / $512.58	Professional		$196.33	$290.45	$512.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $410.06 / $410.06	Professional		$410.06	$410.06	$410.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.51 / $410.06 / $544.62	Facility		$319.51	$410.06	$544.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.11 / $663.24 / $127,498.73	Professional		$521.11	$663.24	$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 $391.45 / $563.75 / $884.15	Professional		$391.45	$563.75	$884.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $614.42 / $2,832.07 / $4,350.10	Facility		$614.42	$2,832.07	$4,350.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $568.49 / $886.75	Professional		$399.82	$568.49	$886.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $253.61 / $586.13	Professional		$66.98	$253.61	$586.13
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 $404.62 / $620.35 / $1,075.79	Professional		$404.62	$620.35	$1,075.79