Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,168.69 / $10,964.78	Facility		$263.03	$4,168.69	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,630.27 / $2,754.23 / $3,235.94	Facility	50	$2,630.27	$2,754.23	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,548.82 / $3,715.35	Professional		$154.88	$1,548.82	$3,715.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $3,388.44 / $3,548.13 / $4,786.30	Professional	50	$3,388.44	$3,548.13	$4,786.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,047.13 / $1,122.02	Professional	50	$954.99	$1,047.13	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,677.35 / $15,135.61	Facility		$1,949.84	$4,677.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,445.44 / $3,235.94	Professional		$177.83	$1,445.44	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $269.15 / $2,137.96 / $4,897.79	Professional	50	$269.15	$2,137.96	$4,897.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $177.83	Facility		$147.91	$158.49	$177.83
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $416.87 / $3,090.30	Professional		$173.78	$416.87	$3,090.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $21,379.62	Facility		$323.59	$436.52	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $446.68 / $3,162.28	Professional		$177.83	$446.68	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $8,709.64	Facility		$100.00	$100.00	$8,709.64
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,513.56 / $3,019.95	Professional		$138.04	$1,513.56	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,120.11	Facility		$2,951.21	$5,754.40	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,258.93 / $3,019.95	Professional		$158.49	$1,258.93	$3,019.95