Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.92 / $5,616.00 / $9,496.00	Facility		$785.92	$5,616.00	$9,496.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,667.90 / $18,052.70 / $18,052.70	Facility	50	$5,667.90	$18,052.70	$18,052.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.11 / $550.91 / $932.55	Professional		$406.11	$550.91	$932.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $530.05 / $684.67	Professional		$361.77	$530.05	$684.67
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 $365.89 / $504.41 / $890.42	Professional		$365.89	$504.41	$890.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $441.72 / $530.05 / $704.00	Facility		$441.72	$530.05	$704.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $592.54 / $592.54 / $1,050.41	Professional		$592.54	$592.54	$1,050.41
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 $450.32 / $673.33 / $1,038.16	Professional		$450.32	$673.33	$1,038.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,527.82 / $5,461.68 / $10,813.32	Facility		$2,527.82	$5,461.68	$10,813.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $463.81 / $687.02 / $1,042.91	Professional		$463.81	$687.02	$1,042.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $423.48 / $727.72	Professional		$77.58	$423.48	$727.72
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 $417.55 / $685.70 / $1,161.83	Professional		$417.55	$685.70	$1,161.83