Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,570.40 / $10,715.19	Facility		$186.21	$2,570.40	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $562.34	Professional		$107.15	$177.83	$562.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	50	$223.87	$223.87	$223.87
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 $70.79 / $107.15 / $204.17	Professional		$70.79	$107.15	$204.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $158.49 / $302.00	Professional	50	$107.15	$158.49	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $112.20 / $123.03	Facility		$102.33	$112.20	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $21,379.62	Facility		$91.20	$169.82	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $331.13	Professional		$112.20	$199.53	$331.13
Medical Mutual of Ohio 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
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $338.84	Professional		$120.23	$204.17	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $288.40	Facility		$100.00	$100.00	$288.40
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $346.74	Professional		$102.33	$186.21	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $288.40	Professional		$95.50	$162.18	$288.40