Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $736.02 / $2,520.44	Facility		$89.13	$736.02	$2,520.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $332.90 / $988.20 / $2,679.12	Facility	50	$332.90	$988.20	$2,679.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.49 / $63.69 / $170.40	Professional		$37.49	$63.69	$170.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $58.52 / $126.76 / $340.50	Professional	50	$58.52	$126.76	$340.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $54.12 / $75.77	Professional		$35.18	$54.12	$75.77
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $52.77 / $77.12 / $85.24	Professional	50	$52.77	$77.12	$85.24
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 $28.05 / $46.64 / $88.00	Professional		$28.05	$46.64	$88.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $42.08 / $70.11 / $132.00	Professional	50	$42.08	$70.11	$132.00
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $59.53 / $64.94	Professional		$41.23	$59.53	$64.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $44.44 / $55.55	Facility		$37.03	$44.44	$55.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $70.36 / $110.56	Professional		$55.30	$70.36	$110.56
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 $44.07 / $66.16 / $104.12	Professional		$44.07	$66.16	$104.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $283.27 / $678.48	Facility		$104.81	$283.27	$678.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $66.56 / $101.89	Professional		$46.00	$66.56	$101.89
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $23.80 / $118.08 / $486.00	Professional	50	$23.80	$118.08	$486.00
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 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $69.27 / $109.05	Professional		$44.61	$69.27	$109.05