Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.70 / $5,223.00 / $9,526.40	Facility		$630.70	$5,223.00	$9,526.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,816.66 / $6,249.00 / $14,476.48	Facility	50	$2,816.66	$6,249.00	$14,476.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.68 / $497.73 / $840.93	Professional		$366.68	$497.73	$840.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $279.17 / $418.75 / $518.45	Professional		$279.17	$418.75	$518.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.74 / $459.60 / $806.33	Professional		$332.74	$459.60	$806.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.81 / $478.57 / $747.77	Facility		$398.81	$478.57	$747.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $536.58 / $951.21	Professional		$536.58	$536.58	$951.21
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 $412.67 / $609.75 / $940.98	Professional		$412.67	$609.75	$940.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,074.52 / $5,410.22 / $14,378.24	Facility		$2,074.52	$5,410.22	$14,378.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $620.36 / $943.90	Professional		$419.25	$620.36	$943.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $400.02 / $650.22	Professional		$77.58	$400.02	$650.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.93 / $631.37 / $1,023.35	Professional		$404.93	$631.37	$1,023.35