Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,503.48 / $6,193.00 / $11,561.00	Facility		$1,503.48	$6,193.00	$11,561.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.37 / $935.28 / $2,291.85	Professional		$830.37	$935.28	$2,291.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $423.98 / $423.98 / $423.98	Professional		$423.98	$423.98	$423.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.00 / $3,555.00 / $19,117.00	Facility		$1,755.00	$3,555.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $974.96 / $1,605.28	Professional		$739.92	$974.96	$1,605.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $871.42 / $1,045.70 / $1,294.29	Facility		$871.42	$1,045.70	$1,294.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $768.41 / $958.56 / $1,132.84	Professional		$768.41	$958.56	$1,132.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,048.28 / $5,935.99	Facility		$790.00	$4,048.28	$5,935.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.87 / $1,186.67 / $1,817.02	Professional		$806.87	$1,186.67	$1,817.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $4,048.28 / $5,765.64	Facility		$790.00	$4,048.28	$5,765.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $814.78 / $1,209.76 / $1,817.02	Professional		$814.78	$1,209.76	$1,817.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $868.22 / $1,277.23	Professional		$72.27	$868.22	$1,277.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,227.00 / $9,483.00	Facility		$1,050.00	$6,227.00	$9,483.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.04 / $1,084.08 / $1,926.05	Professional		$787.04	$1,084.08	$1,926.05