Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.09 / $3,215.00 / $9,686.70	Facility		$593.09	$3,215.00	$9,686.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $548.21 / $924.67	Professional		$409.56	$548.21	$924.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $627.52 / $627.52	Professional		$348.08	$627.52	$627.52
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 $301.87 / $433.90 / $748.18	Professional		$301.87	$433.90	$748.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $594.72 / $594.72 / $594.72	Professional		$594.72	$594.72	$594.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.85 / $485.82 / $601.29	Facility		$404.85	$485.82	$601.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.55 / $568.83 / $672.26	Professional		$437.55	$568.83	$672.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $878.33 / $1,287.90	Facility		$581.00	$878.33	$1,287.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.64 / $609.30 / $982.52	Professional		$409.64	$609.30	$982.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $878.33 / $959.43	Facility		$581.00	$878.33	$959.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $621.44 / $987.98	Professional		$419.25	$621.44	$987.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $433.38 / $711.33	Professional		$36.83	$433.38	$711.33
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.13 / $620.54 / $1,098.44	Professional		$436.13	$620.54	$1,098.44