Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.17 / $3,785.00 / $9,504.00	Facility		$916.17	$3,785.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.59 / $717.42 / $1,503.81	Professional		$484.59	$717.42	$1,503.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $719.08 / $719.08 / $719.08	Professional		$719.08	$719.08	$719.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.44 / $464.35 / $799.83	Professional		$317.44	$464.35	$799.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $587.76 / $587.76 / $587.76	Professional		$587.76	$587.76	$587.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.96 / $587.76 / $727.48	Facility		$457.96	$587.76	$727.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $882.38 / $1,123.02 / $127,498.73	Professional		$882.38	$1,123.02	$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 $570.70 / $893.09 / $1,391.08	Professional		$570.70	$893.09	$1,391.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $882.10 / $2,053.33 / $5,839.11	Facility		$882.10	$2,053.33	$5,839.11
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $573.07 / $893.50 / $1,403.78	Professional		$573.07	$893.50	$1,403.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $626.02 / $1,038.08	Professional		$107.36	$626.02	$1,038.08
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 $661.38 / $1,010.97 / $1,697.65	Professional		$661.38	$1,010.97	$1,697.65