Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.48 / $802.76 / $3,443.00	Facility		$86.48	$802.76	$3,443.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $305.74 / $988.20 / $1,864.16	Facility	50	$305.74	$988.20	$1,864.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $79.19 / $144.30	Professional		$51.90	$79.19	$144.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.00 / $176.04 / $510.00	Professional	50	$120.00	$176.04	$510.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $75.22 / $96.26	Professional		$58.70	$75.22	$96.26
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $84.62 / $115.51 / $179.05	Professional	50	$84.62	$115.51	$179.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.98 / $119.72	Professional		$48.22	$72.98	$119.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.34 / $109.38 / $179.68	Professional	50	$72.34	$109.38	$179.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $90.10 / $92.41	Professional		$84.71	$90.10	$92.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.73 / $64.48 / $80.59	Facility		$53.73	$64.48	$80.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $100.11 / $157.26	Professional		$78.40	$100.11	$157.26
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 $62.14 / $91.71 / $143.38	Professional		$62.14	$91.71	$143.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $300.43 / $430.08 / $716.63	Facility		$300.43	$430.08	$716.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $92.41 / $141.22	Professional		$61.31	$92.41	$141.22
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $134.52 / $134.52 / $214.31	Professional	50	$134.52	$134.52	$214.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $881.00 / $2,833.00	Facility		$444.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $93.55 / $154.05	Professional		$62.52	$93.55	$154.05