Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.64 / $2,011.57 / $11,581.00	Facility		$367.64	$2,011.57	$11,581.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,085.00 / $4,085.00 / $4,085.00	Facility	50	$4,085.00	$4,085.00	$4,085.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $447.77 / $952.66	Professional		$117.70	$447.77	$952.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $46.93 / $219.97	Professional		$46.93	$46.93	$219.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $329.95 / $329.95 / $329.95	Professional	50	$329.95	$329.95	$329.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $269.18 / $1,130.66	Professional		$110.55	$269.18	$1,130.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $165.82 / $403.77 / $1,696.00	Professional	50	$165.82	$403.77	$1,696.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.95 / $130.28 / $160.86	Facility		$102.95	$130.28	$160.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.29 / $615.22 / $922.83	Professional		$501.29	$615.22	$922.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $181.74 / $21,571.00	Facility		$181.74	$181.74	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $325.85 / $989.26	Professional		$120.11	$325.85	$989.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $309.22 / $559.76	Facility		$181.74	$309.22	$559.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $305.81 / $933.74	Professional		$121.12	$305.81	$933.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $412.41 / $541.84 / $759.60	Professional		$412.41	$541.84	$759.60
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 $488.78 / $738.18 / $1,313.47	Professional		$488.78	$738.18	$1,313.47