Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $2,602.00 / $10,268.00	Facility		$494.22	$2,602.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.19 / $339.35 / $847.56	Professional		$298.19	$339.35	$847.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $329.25 / $329.25	Professional		$28.89	$329.25	$329.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.89 / $377.47 / $595.11	Professional		$261.89	$377.47	$595.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.02 / $361.12 / $525.83	Facility		$331.02	$361.12	$525.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.43 / $389.43 / $495.64	Professional		$389.43	$389.43	$495.64
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 $352.61 / $485.25 / $679.16	Professional		$352.61	$485.25	$679.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $424.06 / $424.06 / $424.06	Facility		$424.06	$424.06	$424.06
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $263.31 / $263.31 / $263.31	Facility	62	$263.31	$263.31	$263.31
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $364.15 / $495.64 / $679.16	Professional		$364.15	$495.64	$679.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $332.47 / $502.33	Professional		$67.21	$332.47	$502.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $427.11 / $701.50	Professional		$285.18	$427.11	$701.50