Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.98 / $2,532.00 / $9,504.00	Facility		$354.98	$2,532.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $354.98 / $648.14	Professional		$232.90	$354.98	$648.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.46 / $106.46 / $212.91	Professional		$106.46	$106.46	$212.91
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 $142.40 / $206.71 / $360.11	Professional		$142.40	$206.71	$360.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.33 / $232.73 / $338.89	Facility		$213.33	$232.73	$338.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $274.45 / $376.11 / $478.69	Professional		$274.45	$376.11	$478.69
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 $262.39 / $410.30 / $647.67	Professional		$262.39	$410.30	$647.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $411.63 / $4,050.98	Facility		$410.50	$411.63	$4,050.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $410.71 / $649.64	Professional		$268.27	$410.71	$649.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $234.29 / $427.56	Professional		$34.58	$234.29	$427.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.98 / $3,724.00 / $6,238.00	Facility		$1,200.98	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.06 / $456.60 / $754.69	Professional		$298.06	$456.60	$754.69