Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.15 / $1,883.00 / $9,504.00	Facility		$95.15	$1,883.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $250.66 / $18,589.34 / $18,589.34	Facility	50	$250.66	$18,589.34	$18,589.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $145.11 / $480.05	Professional		$47.13	$145.11	$480.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $67.31 / $67.31 / $67.31	Professional	50	$67.31	$67.31	$67.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $43.84 / $43.84	Professional		$43.84	$43.84	$43.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $228.76 / $584.83	Professional		$40.79	$228.76	$584.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $61.21 / $343.15 / $877.25	Professional	50	$61.21	$343.15	$877.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.52 / $55.78 / $66.27	Facility		$45.52	$55.78	$66.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $237.73 / $291.76 / $437.64	Professional		$237.73	$291.76	$437.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $21,571.00	Facility		$80.37	$80.37	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $152.00 / $501.81	Professional		$51.31	$152.00	$501.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $342.97	Facility		$80.37	$80.37	$342.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.51 / $145.19 / $484.12	Professional		$53.51	$145.19	$484.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $186.66 / $250.98 / $354.38	Professional		$186.66	$250.98	$354.38
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.25 / $396.10 / $644.53	Professional		$282.25	$396.10	$644.53