Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $851.14 / $3,715.35	Facility		$64.57	$851.14	$3,715.35
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $741.31 / $1,348.96 / $3,715.35	Facility	50	$741.31	$1,348.96	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $69.18 / $138.04	Professional		$37.15	$69.18	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $79.43 / $144.54 / $316.23	Professional	50	$79.43	$144.54	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $66.07	Professional		$30.90	$50.12	$66.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $89.13 / $165.96	Professional	50	$70.79	$89.13	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $107.15	Professional		$37.15	$56.23	$107.15
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.23 / $85.11 / $158.49	Professional	50	$56.23	$85.11	$158.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $75.86	Professional		$38.02	$63.10	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $58.88	Facility		$34.67	$44.67	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $66.07 / $21,379.62	Facility		$48.98	$66.07	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $63.10 / $97.72	Professional		$38.90	$63.10	$97.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $891.25	Facility		$281.84	$457.09	$891.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $61.66 / $97.72	Professional		$39.81	$61.66	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $75.86 / $309.03	Professional	50	$75.86	$75.86	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $380.19	Facility		$100.00	$100.00	$380.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $87.10	Professional		$34.67	$57.54	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $85.11	Professional		$32.36	$51.29	$85.11