Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.74 / $2,646.00 / $8,553.00	Facility		$293.74	$2,646.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.79 / $323.10 / $662.18	Professional		$172.79	$323.10	$662.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $168.75 / $253.13	Professional		$136.26	$168.75	$253.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.00 / $3,405.00 / $14,996.00	Facility		$1,712.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.88 / $240.02 / $412.90	Professional		$175.88	$240.02	$412.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.78 / $172.13 / $250.64	Facility		$157.78	$172.13	$250.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $298.75 / $298.75 / $380.23	Professional		$298.75	$298.75	$380.23
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 $210.93 / $414.37 / $753.71	Professional		$210.93	$414.37	$753.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $304.76 / $1,008.65 / $5,279.54	Facility		$304.76	$1,008.65	$5,279.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $210.93 / $393.80 / $758.49	Professional		$210.93	$393.80	$758.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $319.61 / $456.59	Professional		$239.88	$319.61	$456.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.36 / $3,724.00 / $6,238.00	Facility		$2,398.36	$3,724.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.38 / $586.54 / $1,000.09	Professional		$366.38	$586.54	$1,000.09