Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.41 / $330.96 / $599.59	Facility		$70.41	$330.96	$599.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $245.26 / $422.22 / $916.76	Facility	50	$245.26	$422.22	$916.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $66.02 / $122.89	Professional		$38.84	$66.02	$122.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $97.88 / $97.88 / $108.30	Professional	50	$97.88	$97.88	$108.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $59.06 / $97.73	Professional		$28.07	$59.06	$97.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $1,765.00 / $3,943.00	Facility		$802.00	$1,765.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $43.69 / $74.26	Professional		$32.01	$43.69	$74.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.02 / $65.54 / $111.39	Professional	50	$48.02	$65.54	$111.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $75.66 / $75.66	Professional		$69.36	$75.66	$75.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $45.60 / $57.00	Facility		$38.00	$45.60	$57.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $81.97 / $122.96	Professional		$67.20	$81.97	$122.96
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 $45.40 / $72.51 / $116.06	Professional		$45.40	$72.51	$116.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.12 / $230.62 / $687.95	Facility		$128.12	$230.62	$687.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $73.03 / $115.53	Professional		$45.60	$73.03	$115.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $104.97 / $150.61	Professional		$78.46	$104.97	$150.61
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 $42.69 / $72.25 / $114.27	Professional		$42.69	$72.25	$114.27