Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $271.33 / $547.48	Facility		$43.80	$271.33	$547.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $214.79 / $525.70 / $950.14	Facility	50	$214.79	$525.70	$950.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $71.44 / $140.41	Professional		$25.77	$71.44	$140.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $43.08 / $137.72 / $237.85	Professional	50	$43.08	$137.72	$237.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $74.73 / $97.17	Professional		$23.79	$74.73	$97.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $32.74 / $55.18	Professional		$25.68	$32.74	$55.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.52 / $49.11 / $82.77	Professional	50	$38.52	$49.11	$82.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $30.06 / $37.58	Facility		$25.05	$30.06	$37.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $102.28 / $153.41	Professional		$83.17	$102.28	$153.41
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 $28.35 / $82.92 / $140.10	Professional		$28.35	$82.92	$140.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $143.53 / $234.19 / $594.49	Facility		$143.53	$234.19	$594.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $78.68 / $145.09	Professional		$27.55	$78.68	$145.09
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 $316.76 / $881.00 / $2,833.00	Facility		$316.76	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $105.60 / $170.93	Professional		$65.61	$105.60	$170.93