Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.96 / $3,121.00 / $9,504.00	Facility		$444.96	$3,121.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.01 / $434.39 / $800.13	Professional		$275.01	$434.39	$800.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $294.07 / $401.45	Professional		$146.75	$294.07	$401.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.13 / $249.47 / $444.32	Professional		$169.13	$249.47	$444.32
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $352.20 / $352.20	Professional		$352.20	$352.20	$352.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.43 / $352.20 / $467.76	Facility		$274.43	$352.20	$467.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.07 / $595.73 / $127,498.73	Professional		$468.07	$595.73	$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 $335.51 / $488.29 / $775.31	Professional		$335.51	$488.29	$775.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $527.62 / $527.62 / $527.62	Facility		$527.62	$527.62	$527.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $343.40 / $503.68 / $779.11	Professional		$343.40	$503.68	$779.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $298.79 / $538.78	Professional		$34.77	$298.79	$538.78
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 $364.87 / $556.96 / $936.12	Professional		$364.87	$556.96	$936.12