Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.21 / $3,377.42 / $7,327.32	Facility		$608.21	$3,377.42	$7,327.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,708.00 / $3,565.50 / $9,496.12	Facility	50	$2,708.00	$3,565.50	$9,496.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $370.00 / $827.68	Professional		$133.11	$370.00	$827.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $280.01 / $673.38	Professional		$130.66	$280.01	$673.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.43 / $464.52 / $956.98	Professional		$158.43	$464.52	$956.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.60 / $179.50 / $213.28	Facility		$143.60	$179.50	$213.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.88 / $564.77 / $973.61	Professional		$477.88	$564.77	$973.61
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 $166.89 / $477.89 / $990.48	Professional		$166.89	$477.89	$990.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,299.44 / $2,516.64 / $4,190.78	Facility		$1,299.44	$2,516.64	$4,190.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $477.89 / $990.48	Professional		$172.32	$477.89	$990.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.46 / $537.79 / $737.65	Professional		$397.46	$537.79	$737.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $529.59 / $743.16 / $1,172.17	Professional		$529.59	$743.16	$1,172.17