Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.24 / $2,816.00 / $9,516.00	Facility		$583.24	$2,816.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,591.10 / $3,231.73	Professional		$346.74	$1,591.10	$3,231.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.79 / $320.31 / $320.31	Professional		$147.79	$320.31	$320.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.47 / $609.84 / $3,335.43	Professional		$289.47	$609.84	$3,335.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.18 / $397.28 / $472.05	Facility		$324.18	$397.28	$472.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,362.44 / $1,768.38 / $2,009.53	Professional		$1,362.44	$1,768.38	$2,009.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $21,571.00	Facility		$569.66	$569.66	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.23 / $923.98 / $3,378.44	Professional		$350.23	$923.98	$3,378.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $2,077.15	Facility		$569.66	$569.66	$2,077.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $369.53 / $889.90 / $3,295.62	Professional		$369.53	$889.90	$3,295.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,461.32 / $1,947.58 / $2,706.69	Professional		$1,461.32	$1,947.58	$2,706.69
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.92 / $2,243.84 / $4,006.93	Professional		$452.92	$2,243.84	$4,006.93