Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,412.54 / $8,912.51	Facility		$85.11	$1,412.54	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $239.88	Professional		$50.12	$95.50	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.82 / $263.03 / $489.78	Professional	50	$114.82	$263.03	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $165.96	Professional		$79.43	$89.13	$165.96
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $89.13 / $125.89 / $186.21	Professional	50	$89.13	$125.89	$186.21
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 $51.29 / $75.86 / $128.82	Professional		$51.29	$75.86	$128.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.86 / $114.82 / $190.55	Professional	50	$75.86	$114.82	$190.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $123.03	Professional		$89.13	$89.13	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $63.10 / $83.18	Facility		$48.98	$63.10	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $194.98	Professional		$85.11	$112.20	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $151.36	Professional		$56.23	$91.20	$151.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $776.25 / $1,122.02	Facility		$363.08	$776.25	$1,122.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $147.91	Professional		$56.23	$91.20	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $44.67	Professional		$32.36	$33.11	$44.67
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $870.96	Facility		$100.00	$100.00	$870.96
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $141.25	Professional		$46.77	$93.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $131.83	Professional		$46.77	$75.86	$131.83