Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,467.00 / $10,405.00	Facility		$801.00	$5,467.00	$10,405.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $630.33 / $4,217.96	Professional		$311.88	$630.33	$4,217.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.73 / $279.20 / $279.20	Professional		$211.73	$279.20	$279.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.00 / $5,451.00 / $19,117.00	Facility		$2,258.00	$5,451.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $1,186.92 / $3,609.44	Professional		$305.72	$1,186.92	$3,609.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $290.83 / $345.58	Facility		$232.67	$290.83	$345.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,930.79 / $2,281.84 / $3,888.54	Professional		$1,930.79	$2,281.84	$3,888.54
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 $260.00 / $927.40 / $3,297.95	Professional		$260.00	$927.40	$3,297.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,434.23 / $5,510.99 / $10,546.95	Facility		$2,434.23	$5,510.99	$10,546.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $1,575.35 / $3,446.20	Professional		$271.89	$1,575.35	$3,446.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,641.43 / $2,227.64 / $3,130.16	Professional		$1,641.43	$2,227.64	$3,130.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,874.00 / $5,998.00 / $7,847.00	Facility		$2,874.00	$5,998.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,561.70 / $2,405.89 / $4,013.88	Professional		$1,561.70	$2,405.89	$4,013.88