Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.33 / $4,085.00 / $9,863.00	Facility		$604.33	$4,085.00	$9,863.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.13 / $551.62 / $992.37	Professional		$389.13	$551.62	$992.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $507.11 / $507.11 / $507.11	Professional		$507.11	$507.11	$507.11
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 $194.31 / $297.19 / $575.73	Professional		$194.31	$297.19	$575.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $486.83 / $486.83 / $486.83	Professional		$486.83	$486.83	$486.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $379.32 / $486.83 / $646.58	Facility		$379.32	$486.83	$646.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $591.47 / $752.78 / $127,498.73	Professional		$591.47	$752.78	$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 $446.26 / $637.05 / $994.63	Professional		$446.26	$637.05	$994.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $729.27 / $729.27 / $729.27	Facility		$729.27	$729.27	$729.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $466.54 / $647.08 / $967.87	Professional		$466.54	$647.08	$967.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $370.90 / $692.19	Professional		$71.09	$370.90	$692.19
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 $454.11 / $694.64 / $1,148.14	Professional		$454.11	$694.64	$1,148.14