Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,951.21 / $10,715.19	Facility		$229.09	$2,951.21	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility	50	$9,772.37	$9,772.37	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $724.44	Professional		$144.54	$275.42	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,479.11 / $1,548.82 / $2,818.38	Professional	50	$1,479.11	$1,548.82	$2,818.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	50	$446.68	$446.68	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,884.03 / $7,943.28	Facility		$1,000.00	$2,884.03	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $426.58	Professional		$151.36	$257.04	$426.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $223.87 / $380.19 / $630.96	Professional	50	$223.87	$380.19	$630.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $169.82	Facility		$141.25	$147.91	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $21,379.62	Facility		$123.03	$239.88	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $489.78	Professional		$169.82	$302.00	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $21,379.62	Facility		$1,905.46	$2,089.30	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $501.19	Professional		$169.82	$309.03	$501.19
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 / $2,187.76	Facility		$100.00	$100.00	$2,187.76
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $426.58	Professional		$131.83	$281.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $5,248.07	Facility		$1,698.24	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $446.68	Professional		$144.54	$251.19	$446.68