Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.54 / $2,849.00 / $9,504.00	Facility		$122.54	$2,849.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $122.54 / $233.85	Professional		$51.23	$122.54	$233.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $42.10 / $96.82	Professional		$32.00	$42.10	$96.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $98.17 / $273.77	Professional		$47.02	$98.17	$273.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $56.58 / $67.22	Facility		$46.16	$56.58	$67.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $113.65 / $129.15	Professional		$101.89	$113.65	$129.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $21,571.00	Facility		$81.79	$81.79	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.84 / $108.29 / $247.76	Professional		$52.84	$108.29	$247.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $162.69 / $4,995.30	Facility		$81.79	$162.69	$4,995.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.28 / $104.39 / $228.66	Professional		$54.28	$104.39	$228.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $110.13 / $153.71	Professional		$83.29	$110.13	$153.71
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 $118.32 / $184.35 / $321.32	Professional		$118.32	$184.35	$321.32