Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $352.78 / $541.50	Facility		$75.00	$352.78	$541.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $75.81 / $147.36	Professional		$43.78	$75.81	$147.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $119.86 / $119.86	Professional		$119.86	$119.86	$119.86
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 $36.84 / $52.02 / $84.89	Professional		$36.84	$52.02	$84.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $103.07 / $103.07 / $103.07	Professional		$103.07	$103.07	$103.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $59.93 / $79.59	Facility		$46.70	$59.93	$79.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $120.25 / $127,498.73	Professional		$94.48	$120.25	$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 $57.43 / $88.22 / $141.72	Professional		$57.43	$88.22	$141.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $155.41 / $233.73 / $370.06	Facility		$155.41	$233.73	$370.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $57.61 / $90.05 / $150.31	Professional		$57.61	$90.05	$150.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
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 $63.72 / $97.66 / $159.03	Professional		$63.72	$97.66	$159.03