Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.96 / $2,905.00 / $10,088.45	Facility		$612.96	$2,905.00	$10,088.45
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,946.50 / $3,825.00 / $11,749.42	Facility	50	$1,946.50	$3,825.00	$11,749.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.43 / $1,213.57 / $2,402.08	Professional		$312.43	$1,213.57	$2,402.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $211.39 / $354.30	Professional		$211.39	$211.39	$354.30
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 $297.68 / $1,132.54 / $2,451.78	Professional		$297.68	$1,132.54	$2,451.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $446.52 / $1,698.82 / $3,677.68	Professional	50	$446.52	$1,698.82	$3,677.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.26 / $461.98 / $495.72	Facility		$317.26	$461.98	$495.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,548.93 / $1,760.15 / $2,745.84	Professional		$1,548.93	$1,760.15	$2,745.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $21,571.00	Facility		$555.64	$555.64	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.70 / $963.06 / $2,730.13	Professional		$357.70	$963.06	$2,730.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $1,652.20 / $4,826.53	Facility		$555.64	$1,652.20	$4,826.53
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $360.93 / $710.57 / $2,597.40	Professional		$360.93	$710.57	$2,597.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,304.90 / $1,734.82 / $2,414.64	Professional		$1,304.90	$1,734.82	$2,414.64
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 $1,471.57 / $2,018.10 / $3,506.51	Professional		$1,471.57	$2,018.10	$3,506.51