Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $761.60 / $2,989.00	Facility		$62.76	$761.60	$2,989.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $431.89 / $850.75 / $1,786.08	Facility	50	$431.89	$850.75	$1,786.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $54.17 / $111.49	Professional		$34.77	$54.17	$111.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.96 / $113.31 / $309.00	Professional	50	$46.96	$113.31	$309.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $48.68 / $65.55	Professional		$35.59	$48.68	$65.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $64.55 / $74.93 / $112.39	Professional	50	$64.55	$74.93	$112.39
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 $32.35 / $52.07 / $88.54	Professional		$32.35	$52.07	$88.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.25 / $78.09 / $133.09	Professional	50	$48.25	$78.09	$133.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $56.44 / $59.94	Professional		$38.14	$56.44	$59.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $40.50 / $50.63	Facility		$33.75	$40.50	$50.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.94 / $101.62	Professional		$51.29	$64.94	$101.62
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 $40.04 / $59.94 / $92.14	Professional		$40.04	$59.94	$92.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $238.75 / $442.93 / $613.14	Facility		$238.75	$442.93	$613.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $59.91 / $91.35	Professional		$39.03	$59.91	$91.35
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $70.94 / $105.57 / $117.94	Professional	50	$70.94	$105.57	$117.94
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 $40.02 / $61.14 / $98.82	Professional		$40.02	$61.14	$98.82