Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.28 / $2,432.00 / $8,553.00	Facility		$502.28	$2,432.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.38 / $456.62 / $783.10	Professional		$313.38	$456.62	$783.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.09 / $386.09 / $386.09	Professional		$386.09	$386.09	$386.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,707.00 / $8,800.00	Facility		$918.00	$2,707.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.04 / $340.31 / $604.12	Professional		$250.04	$340.31	$604.12
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $416.57 / $416.57 / $416.57	Professional		$416.57	$416.57	$416.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.99 / $381.59 / $472.31	Facility		$317.99	$381.59	$472.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $351.72 / $479.12 / $566.23	Professional		$351.72	$479.12	$566.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,844.48	Facility		$508.00	$885.00	$2,844.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.16 / $482.32 / $801.20	Professional		$322.16	$482.32	$801.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $885.00 / $2,475.16	Facility		$508.00	$885.00	$2,475.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $330.71 / $492.88 / $790.10	Professional		$330.71	$492.88	$790.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $431.73 / $660.61	Professional		$34.50	$431.73	$660.61
United Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $4,072.00 / $6,238.00	Facility		$800.00	$4,072.00	$6,238.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.76 / $517.92 / $925.23	Professional		$357.76	$517.92	$925.23