Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.48 / $2,374.71 / $9,504.00	Facility		$662.48	$2,374.71	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.43 / $662.48 / $1,242.15	Professional		$471.43	$662.48	$1,242.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.52 / $462.19 / $462.19	Professional		$214.52	$462.19	$462.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,683.00 / $14,996.00	Facility		$1,760.00	$3,683.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $412.93 / $739.50	Professional		$269.99	$412.93	$739.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $554.63 / $554.63 / $554.63	Professional		$554.63	$554.63	$554.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.15 / $554.63 / $736.62	Facility		$432.15	$554.63	$736.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $705.82 / $898.31 / $127,498.73	Professional		$705.82	$898.31	$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 $531.52 / $806.61 / $1,194.07	Professional		$531.52	$806.61	$1,194.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $831.68 / $957.11 / $1,253.30	Facility		$831.68	$957.11	$1,253.30
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $83.17 / $83.17 / $83.17	Facility	AS	$83.17	$83.17	$83.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $813.97 / $1,194.07	Professional		$541.17	$813.97	$1,194.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $489.12 / $823.62	Professional		$72.37	$489.12	$823.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.99 / $886.45 / $1,467.49	Professional		$593.99	$886.45	$1,467.49