Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.80 / $825.32 / $9,504.00	Facility		$295.80	$825.32	$9,504.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $168.85 / $251.08 / $590.67	Facility	54	$168.85	$251.08	$590.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.27 / $241.81 / $458.71	Professional		$205.27	$241.81	$458.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.37 / $154.37 / $224.90	Professional		$154.37	$154.37	$224.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $167.93 / $312.80	Professional		$110.43	$167.93	$312.80
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $284.08	Professional		$284.08	$284.08	$284.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $206.20 / $264.64 / $351.47	Facility		$206.20	$264.64	$351.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.41 / $331.44 / $127,498.73	Professional		$260.41	$331.44	$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 $231.56 / $317.04 / $454.60	Professional		$231.56	$317.04	$454.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $394.02 / $394.02 / $427.20	Facility		$394.02	$394.02	$427.20
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $275.81 / $275.81 / $275.81	Facility	54	$275.81	$275.81	$275.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $231.56 / $319.77 / $454.60	Professional		$231.56	$319.77	$454.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $194.72 / $304.60	Professional		$30.67	$194.72	$304.60
United Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $738.00 / $2,816.00	Facility		$180.20	$738.00	$2,816.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.51 / $296.45 / $484.06	Professional		$198.51	$296.45	$484.06