Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.26 / $738.00 / $8,956.00	Facility		$234.26	$738.00	$8,956.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $155.00 / $232.00 / $567.29	Facility	54	$155.00	$232.00	$567.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $234.26 / $444.39	Professional		$190.00	$234.26	$444.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.93 / $266.93 / $266.93	Professional		$266.93	$266.93	$266.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.76 / $150.18 / $286.73	Professional		$98.76	$150.18	$286.73
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $275.29 / $275.29 / $275.29	Professional		$275.29	$275.29	$275.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.71 / $243.47 / $323.36	Facility		$189.71	$243.47	$323.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $252.35 / $321.17 / $127,498.73	Professional		$252.35	$321.17	$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 $213.03 / $294.55 / $430.31	Professional		$213.03	$294.55	$430.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $312.18 / $362.57 / $426.43	Facility		$312.18	$362.57	$426.43
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $253.80 / $253.80 / $253.80	Facility	54	$253.80	$253.80	$253.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $302.10 / $434.18	Professional		$214.90	$302.10	$434.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.41 / $189.29 / $290.36	Professional		$32.41	$189.29	$290.36
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $277.76 / $467.52	Professional		$185.41	$277.76	$467.52