Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.96 / $2,785.00 / $9,516.00	Facility		$499.96	$2,785.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.57 / $489.54 / $870.33	Professional		$338.57	$489.54	$870.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.98 / $318.98 / $318.98	Professional		$318.98	$318.98	$318.98
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 $210.86 / $308.11 / $519.16	Professional		$210.86	$308.11	$519.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $415.33 / $415.33 / $415.33	Professional		$415.33	$415.33	$415.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.61 / $353.03 / $514.05	Facility		$323.61	$353.03	$514.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.87 / $536.97 / $683.41	Professional		$382.87	$536.97	$683.41
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 $398.03 / $575.66 / $886.03	Professional		$398.03	$575.66	$886.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $1,026.65 / $1,913.16	Facility		$621.17	$1,026.65	$1,913.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $404.95 / $585.78 / $894.62	Professional		$404.95	$585.78	$894.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $365.18 / $628.34	Professional		$71.09	$365.18	$628.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $6,522.00	Facility		$2,233.00	$4,321.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.39 / $626.41 / $1,032.69	Professional		$422.39	$626.41	$1,032.69