Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,967.00 / $9,504.00	Facility		$500.00	$1,967.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,013.47 / $8,816.21 / $40,851.41	Facility	50	$2,013.47	$8,816.21	$40,851.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $579.83 / $1,519.84	Professional		$172.78	$579.83	$1,519.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $209.74 / $209.74 / $467.24	Professional	50	$209.74	$209.74	$467.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $254.11 / $254.11 / $254.11	Professional		$254.11	$254.11	$254.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.79 / $342.25 / $1,246.08	Professional		$168.79	$342.25	$1,246.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $253.18 / $513.38 / $1,869.14	Professional	50	$253.18	$513.38	$1,869.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.22 / $211.60 / $261.29	Facility		$167.22	$211.60	$261.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $633.54 / $787.46 / $1,395.95	Professional		$633.54	$787.46	$1,395.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.33 / $343.32 / $1,313.50	Professional		$180.33	$343.32	$1,313.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,925.78 / $3,512.71 / $4,728.14	Facility		$2,925.78	$3,512.71	$4,728.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $346.78 / $1,295.19	Professional		$200.00	$346.78	$1,295.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $699.73 / $927.02 / $1,265.69	Professional		$699.73	$927.02	$1,265.69
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.86 / $1,068.47 / $1,670.05	Professional		$798.86	$1,068.47	$1,670.05