Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.55 / $5,316.18 / $8,961.02	Facility		$1,004.55	$5,316.18	$8,961.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,817.00 / $6,554.00 / $8,559.00	Facility	50	$4,817.00	$6,554.00	$8,559.00
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $30.42 / $30.42 / $30.42	Facility	AS	$30.42	$30.42	$30.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.91 / $786.43 / $1,792.61	Professional		$554.91	$786.43	$1,792.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $572.13 / $754.46 / $880.21	Professional		$572.13	$754.46	$880.21
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 $309.02 / $423.47 / $816.07	Professional		$309.02	$423.47	$816.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.72 / $785.90 / $933.82	Facility		$628.72	$785.90	$933.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $691.59 / $817.34 / $1,487.09	Professional		$691.59	$817.34	$1,487.09
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 $392.37 / $870.46 / $1,321.62	Professional		$392.37	$870.46	$1,321.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,843.91 / $4,028.50 / $10,416.00	Facility		$1,843.91	$4,028.50	$10,416.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $441.51 / $870.46 / $1,314.60	Professional		$441.51	$870.46	$1,314.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $508.52 / $844.80	Professional		$78.29	$508.52	$844.80
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 $542.15 / $852.26 / $1,363.85	Professional		$542.15	$852.26	$1,363.85