Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $854.00 / $3,116.00	Facility		$63.45	$854.00	$3,116.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $912.05 / $1,307.33 / $1,397.74	Facility	50	$912.05	$1,307.33	$1,397.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $54.78 / $110.18	Professional		$33.95	$54.78	$110.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.17 / $48.44 / $58.13	Professional		$41.17	$48.44	$58.13
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 $31.48 / $49.84 / $82.54	Professional		$31.48	$49.84	$82.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $58.13 / $71.16	Professional		$41.16	$58.13	$71.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $41.16 / $51.45	Facility		$34.29	$41.16	$51.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $62.97 / $79.78	Professional		$49.88	$62.97	$79.78
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 $40.28 / $60.02 / $95.14	Professional		$40.28	$60.02	$95.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $266.74 / $415.12 / $1,254.34	Facility		$266.74	$415.12	$1,254.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $60.55 / $96.26	Professional		$41.16	$60.55	$96.26
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 $37.86 / $61.79 / $99.48	Professional		$37.86	$61.79	$99.48