Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.29 / $6,249.00 / $9,831.00	Facility		$746.29	$6,249.00	$9,831.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,870.51 / $9,031.50 / $15,345.04	Facility	50	$5,870.51	$9,031.50	$15,345.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $564.50 / $1,770.00 / $2,967.90	Professional	50	$564.50	$1,770.00	$2,967.90
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $485.32 / $714.63 / $815.91	Professional	50	$485.32	$714.63	$815.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,918.00 / $19,117.00	Facility		$2,084.00	$4,918.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $492.90 / $1,860.77 / $4,156.55	Professional	50	$492.90	$1,860.77	$4,156.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.93 / $421.12 / $561.50	Facility		$350.93	$421.12	$561.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $21,571.00	Facility		$626.15	$626.15	$21,571.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,977.60 / $4,264.75 / $11,541.73	Facility		$1,977.60	$4,264.75	$11,541.73
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $794.31 / $794.31 / $794.31	Professional	50	$794.31	$794.31	$794.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $8,448.00 / $13,382.00	Facility		$4,070.00	$8,448.00	$13,382.00