Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.51 / $2,849.00 / $9,460.16	Facility		$738.51	$2,849.00	$9,460.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,417.00 / $2,340.33 / $3,825.00	Facility	50	$1,417.00	$2,340.33	$3,825.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.08 / $491.44 / $855.80	Professional		$227.08	$491.44	$855.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.78 / $273.35 / $588.76	Professional		$220.78	$273.35	$588.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.54 / $435.16 / $781.52	Professional		$301.54	$435.16	$781.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.54 / $525.67 / $624.61	Facility		$420.54	$525.67	$624.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $546.70 / $990.91	Professional		$462.59	$546.70	$990.91
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 $379.49 / $579.79 / $877.59	Professional		$379.49	$579.79	$877.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,231.10 / $3,017.53 / $6,258.18	Facility		$1,231.10	$3,017.53	$6,258.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $296.05 / $578.67 / $859.79	Professional		$296.05	$578.67	$859.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $400.83 / $585.32	Professional		$75.93	$400.83	$585.32
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 $388.41 / $550.01 / $916.68	Professional		$388.41	$550.01	$916.68