Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $2,936.00 / $9,516.00	Facility		$719.00	$2,936.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.26 / $499.61 / $910.06	Professional		$416.26	$499.61	$910.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.92 / $325.92 / $695.77	Professional		$325.92	$325.92	$695.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.35 / $527.91 / $847.20	Professional		$366.35	$527.91	$847.20
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $574.78 / $574.78 / $574.78	Professional		$574.78	$574.78	$574.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.84 / $488.56 / $711.41	Facility		$447.84	$488.56	$711.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $519.77 / $526.88 / $670.57	Professional		$519.77	$526.88	$670.57
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 $484.10 / $670.58 / $925.24	Professional		$484.10	$670.58	$925.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $576.94 / $934.64 / $4,549.68	Facility		$576.94	$934.64	$4,549.68
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $57.68 / $57.68 / $57.68	Facility	AS	$57.68	$57.68	$57.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $497.04 / $670.58 / $925.24	Professional		$497.04	$670.58	$925.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $445.24 / $659.16	Professional		$67.21	$445.24	$659.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,502.00	Facility		$2,233.00	$4,223.00	$6,502.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.21 / $605.29 / $981.08	Professional		$395.21	$605.29	$981.08