Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.71 / $1,835.50 / $8,386.90	Facility		$588.71	$1,835.50	$8,386.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $531.12 / $954.61	Professional		$347.68	$531.12	$954.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $184.06 / $184.06 / $184.06	Professional		$184.06	$184.06	$184.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.91 / $296.27 / $574.26	Professional		$193.91	$296.27	$574.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $415.98 / $441.74 / $626.69	Professional		$415.98	$441.74	$626.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $344.19 / $441.74 / $586.70	Facility		$344.19	$441.74	$586.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $574.46 / $731.14 / $127,498.73	Professional		$574.46	$731.14	$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 $409.49 / $591.44 / $954.91	Professional		$409.49	$591.44	$954.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $661.09 / $1,026.65 / $2,323.31	Facility		$661.09	$1,026.65	$2,323.31
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $66.11 / $66.11 / $66.11	Facility	AS	$66.11	$66.11	$66.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $423.34 / $611.02 / $940.03	Professional		$423.34	$611.02	$940.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $393.94 / $669.23	Professional		$71.09	$393.94	$669.23
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 $438.64 / $664.13 / $1,111.22	Professional		$438.64	$664.13	$1,111.22