Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.80 / $2,646.00 / $9,504.00	Facility		$315.80	$2,646.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $399.23 / $939.79	Professional		$87.96	$399.23	$939.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $85.97 / $88.96	Professional		$84.13	$85.97	$88.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.00 / $2,608.00 / $8,800.00	Facility		$993.00	$2,608.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.55 / $174.70 / $926.86	Professional		$87.55	$174.70	$926.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $105.30 / $131.21	Facility		$87.47	$105.30	$131.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $610.22 / $820.89 / $1,350.29	Professional		$610.22	$820.89	$1,350.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $1,060.90 / $21,571.00	Facility		$158.18	$1,060.90	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $257.25 / $1,082.20	Professional		$99.44	$257.25	$1,082.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $158.18 / $1,220.60 / $3,423.54	Facility		$158.18	$1,220.60	$3,423.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $213.92 / $1,006.87	Professional		$100.24	$213.92	$1,006.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $548.65 / $741.30 / $1,044.97	Professional		$548.65	$741.30	$1,044.97
United Facility/Professional Facility Modifier Low / Median / High Price $987.00 / $2,600.00 / $5,235.00	Facility		$987.00	$2,600.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.11 / $726.43 / $1,295.74	Professional		$493.11	$726.43	$1,295.74