Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $3,696.00 / $10,361.14	Facility		$700.00	$3,696.00	$10,361.14
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,545.50 / $3,000.00 / $7,985.85	Facility	50	$2,545.50	$3,000.00	$7,985.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.52 / $1,028.97 / $1,996.30	Professional		$304.52	$1,028.97	$1,996.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $303.19 / $303.19	Professional		$303.19	$303.19	$303.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.33 / $1,041.01 / $2,210.88	Professional		$276.33	$1,041.01	$2,210.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $414.51 / $1,531.08 / $3,316.32	Professional	50	$414.51	$1,531.08	$3,316.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.72 / $336.66 / $400.02	Facility		$274.72	$336.66	$400.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,178.91 / $1,339.68 / $2,089.89	Professional		$1,178.91	$1,339.68	$2,089.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $482.50 / $21,571.00	Facility		$482.50	$482.50	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.57 / $859.70 / $2,262.11	Professional		$317.57	$859.70	$2,262.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $482.50 / $1,356.42 / $9,520.27	Facility		$482.50	$1,356.42	$9,520.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $659.92 / $2,177.96	Professional		$323.20	$659.92	$2,177.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $971.29 / $1,267.41 / $1,765.75	Professional		$971.29	$1,267.41	$1,765.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,840.00 / $5,625.00 / $7,847.00	Facility		$2,840.00	$5,625.00	$7,847.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,218.83 / $1,819.50 / $3,129.76	Professional		$1,218.83	$1,819.50	$3,129.76