Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.91 / $4,723.00 / $10,232.19	Facility		$658.91	$4,723.00	$10,232.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,793.13 / $6,793.13 / $8,183.99	Facility	50	$6,793.13	$6,793.13	$8,183.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $485.92 / $966.20	Professional		$300.18	$485.92	$966.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $387.05 / $540.00	Professional		$171.00	$387.05	$540.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,576.00 / $14,996.00	Facility		$1,760.00	$3,576.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.26 / $263.47 / $538.17	Professional		$172.26	$263.47	$538.17
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $416.54 / $442.34 / $596.52	Professional		$416.54	$442.34	$596.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.62 / $442.34 / $552.92	Facility		$368.62	$442.34	$552.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.53 / $646.23 / $969.35	Professional		$514.53	$646.23	$969.35
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 $391.21 / $571.37 / $908.84	Professional		$391.21	$571.37	$908.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $770.66 / $1,677.48 / $4,145.77	Facility		$770.66	$1,677.48	$4,145.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $387.05 / $576.04 / $884.44	Professional		$387.05	$576.04	$884.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $352.44 / $637.45	Professional		$71.09	$352.44	$637.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.83 / $623.47 / $1,058.01	Professional		$407.83	$623.47	$1,058.01