Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,380.38 / $4,786.30	Facility		$120.23	$1,380.38	$4,786.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $467.74 / $741.31 / $2,398.83	Facility	50	$467.74	$741.31	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $204.17 / $562.34	Professional		$66.07	$204.17	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $489.78 / $1,148.15	Professional	50	$169.82	$489.78	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $97.72 / $229.09	Professional		$72.44	$97.72	$229.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	50	$338.84	$338.84	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $147.91	Professional		$57.54	$81.28	$147.91
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $85.11 / $120.23 / $218.78	Professional	50	$85.11	$120.23	$218.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $64.57 / $91.20	Facility		$50.12	$64.57	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $331.13	Professional		$194.98	$251.19	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $21,379.62	Facility		$57.54	$114.82	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $380.19	Professional		$72.44	$177.83	$380.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $316.23 / $2,344.23	Facility		$54.95	$316.23	$2,344.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $371.54	Professional		$72.44	$162.18	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $229.09 / $489.78	Professional		$63.10	$229.09	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $389.05	Professional		$70.79	$181.97	$389.05