Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.50 / $4,934.00 / $11,243.00	Facility		$962.50	$4,934.00	$11,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $777.38 / $1,364.30	Professional		$558.59	$777.38	$1,364.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $408.62 / $572.05 / $844.47	Professional		$408.62	$572.05	$844.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,777.00 / $6,934.00 / $30,285.00	Facility		$2,777.00	$6,934.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.52 / $460.68 / $849.91	Professional		$301.52	$460.68	$849.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $615.65 / $653.78 / $859.93	Professional		$615.65	$653.78	$859.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.41 / $653.78 / $868.31	Facility		$509.41	$653.78	$868.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $788.27 / $1,003.25 / $127,498.73	Professional		$788.27	$1,003.25	$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 $626.54 / $883.95 / $1,345.47	Professional		$626.54	$883.95	$1,345.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,546.44 / $3,728.46 / $9,746.06	Facility		$1,546.44	$3,728.46	$9,746.06
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $626.54 / $892.74 / $1,361.56	Professional		$626.54	$892.74	$1,361.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.37 / $533.94 / $927.01	Professional		$72.37	$533.94	$927.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,440.00 / $13,382.00	Facility		$4,070.00	$8,440.00	$13,382.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.88 / $967.42 / $1,590.13	Professional		$634.88	$967.42	$1,590.13