Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,467.37 / $7,244.36	Facility		$575.44	$3,467.37	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $6,309.57 / $9,772.37	Facility	50	$2,691.53	$6,309.57	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $380.19 / $1,584.89	Professional		$141.25	$380.19	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $457.09	Professional		$125.89	$234.42	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $467.74 / $954.99	Professional		$165.96	$467.74	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $199.53	Facility		$144.54	$173.78	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $1,000.00	Professional		$524.81	$588.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $436.52 / $21,379.62	Facility		$131.83	$436.52	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $446.68 / $954.99	Professional		$165.96	$446.68	$954.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $4,897.79	Facility		$1,380.38	$2,691.53	$4,897.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $380.19 / $954.99	Professional		$158.49	$380.19	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $2,041.74	Facility		$100.00	$100.00	$2,041.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $467.74 / $891.25	Professional		$141.25	$467.74	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $426.58 / $954.99	Professional		$154.88	$426.58	$954.99