Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.31 / $2,451.00 / $8,956.00	Facility		$350.31	$2,451.00	$8,956.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.48 / $295.13 / $1,027.61	Facility	52	$97.48	$295.13	$1,027.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.95 / $360.65 / $1,014.94	Professional		$194.95	$360.65	$1,014.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $170.58 / $233.31	Professional		$130.66	$170.58	$233.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.92 / $344.05 / $709.66	Professional		$226.92	$344.05	$709.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.65 / $233.31 / $298.64	Facility		$186.65	$233.31	$298.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $601.41 / $1,225.02 / $1,281.26	Professional		$601.41	$1,225.02	$1,281.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.48 / $885.00 / $1,309.85	Facility		$336.48	$885.00	$1,309.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.77 / $424.54 / $980.83	Professional		$213.77	$424.54	$980.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $885.00 / $1,309.85	Facility		$491.00	$885.00	$1,309.85
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $269.18 / $269.18 / $269.18	Facility	52	$269.18	$269.18	$269.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $428.26 / $980.78	Professional		$218.38	$428.26	$980.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $485.96 / $670.64 / $934.16	Professional		$485.96	$670.64	$934.16
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,665.00 / $5,457.00	Facility		$675.00	$2,665.00	$5,457.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.71 / $703.20 / $1,290.84	Professional		$330.71	$703.20	$1,290.84