Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $4,045.14 / $15,707.30	Facility		$175.00	$4,045.14	$15,707.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $179.93 / $7,383.53	Professional		$84.81	$179.93	$7,383.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $98.17 / $98.17	Professional		$98.17	$98.17	$98.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $8,010.00 / $36,529.00	Facility		$2,097.00	$8,010.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.61 / $3,154.07 / $6,664.73	Professional		$77.61	$3,154.07	$6,664.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.45 / $83.45 / $121.51	Facility		$83.45	$83.45	$121.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,818.63 / $3,818.63 / $5,480.64	Professional		$3,818.63	$3,818.63	$5,480.64
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 $89.99 / $197.29 / $7,186.60	Professional		$89.99	$197.29	$7,186.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,410.59 / $6,827.69 / $16,223.41	Facility		$3,410.59	$6,827.69	$16,223.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $197.29 / $7,186.60	Professional		$99.81	$197.29	$7,186.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,256.55 / $4,292.72 / $5,996.49	Professional		$3,256.55	$4,292.72	$5,996.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,873.00 / $11,553.00 / $17,148.00	Facility		$4,873.00	$11,553.00	$17,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,686.50 / $6,263.34 / $8,745.25	Professional		$4,686.50	$6,263.34	$8,745.25