Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.56 / $2,816.00 / $9,504.00	Facility		$437.56	$2,816.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,732.78 / $2,101.67 / $2,101.67	Facility	50	$1,732.78	$2,101.67	$2,101.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $812.06 / $2,128.76	Professional		$241.91	$812.06	$2,128.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.01 / $430.70 / $430.70	Professional		$111.01	$430.70	$430.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.33 / $475.64 / $2,039.70	Professional		$222.33	$475.64	$2,039.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.29 / $328.06 / $352.01	Facility		$225.29	$328.06	$352.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,164.82 / $1,323.66 / $2,064.92	Professional		$1,164.82	$1,323.66	$2,064.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $21,571.00	Facility		$397.55	$397.55	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.07 / $681.11 / $2,241.42	Professional		$255.07	$681.11	$2,241.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $1,330.12 / $1,620.18	Facility		$397.55	$1,330.12	$1,620.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $511.35 / $2,148.57	Professional		$257.89	$511.35	$2,148.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $973.64 / $1,301.66 / $1,805.94	Professional		$973.64	$1,301.66	$1,805.94
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 $1,094.07 / $1,622.93 / $3,093.22	Professional		$1,094.07	$1,622.93	$3,093.22