Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.85 / $3,988.74 / $9,899.76	Facility		$711.85	$3,988.74	$9,899.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.63 / $650.80 / $1,222.31	Professional		$447.63	$650.80	$1,222.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.19 / $417.19 / $614.79	Professional		$417.19	$417.19	$614.79
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 $276.63 / $418.85 / $719.52	Professional		$276.63	$418.85	$719.52
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $496.23 / $526.97 / $526.97	Professional		$496.23	$526.97	$526.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.60 / $526.97 / $699.89	Facility		$410.60	$526.97	$699.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.10 / $882.13 / $127,498.73	Professional		$693.10	$882.13	$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 $513.79 / $774.58 / $1,163.42	Professional		$513.79	$774.58	$1,163.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $789.27 / $3,075.49 / $9,435.59	Facility		$789.27	$3,075.49	$9,435.59
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $78.93 / $78.93 / $78.93	Facility	AS	$78.93	$78.93	$78.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $783.82 / $1,163.42	Professional		$522.58	$783.82	$1,163.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $476.40 / $810.98	Professional		$72.32	$476.40	$810.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $8,725.00	Facility		$2,233.00	$4,223.00	$8,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $859.93 / $1,363.20	Professional		$567.41	$859.93	$1,363.20