Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.32 / $4,022.10 / $9,504.00	Facility		$200.32	$4,022.10	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $115.79 / $228.10	Professional		$99.70	$115.79	$228.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $50.17 / $50.17	Professional		$50.17	$50.17	$50.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,025.00 / $8,800.00	Facility		$1,152.00	$3,025.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $131.52 / $220.33	Professional		$92.56	$131.52	$220.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $132.32 / $206.76	Facility		$110.27	$132.32	$206.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.30 / $121.30 / $215.03	Professional		$121.30	$121.30	$215.03
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 $116.75 / $165.23 / $280.00	Professional		$116.75	$165.23	$280.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $914.66 / $4,165.88	Facility		$0.59	$914.66	$4,165.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $170.92 / $290.00	Professional		$118.50	$170.92	$290.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $115.80 / $157.15	Professional		$86.01	$115.80	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $145.94 / $248.84	Professional		$102.90	$145.94	$248.84