Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.72 / $2,662.67 / $8,956.00	Facility		$470.72	$2,662.67	$8,956.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,058.51 / $5,311.15 / $5,839.50	Facility	50	$4,058.51	$5,311.15	$5,839.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $756.43 / $1,478.59	Professional		$265.48	$756.43	$1,478.59
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $672.47 / $672.47 / $672.47	Professional	50	$672.47	$672.47	$672.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.96 / $219.43 / $330.33	Professional		$116.96	$219.43	$330.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $514.95 / $1,936.54	Professional		$246.85	$514.95	$1,936.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $370.28 / $772.32 / $2,914.81	Professional	50	$370.28	$772.32	$2,914.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.67 / $350.45 / $376.05	Facility		$240.67	$350.45	$376.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $791.46 / $899.39 / $1,403.04	Professional		$791.46	$899.39	$1,403.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $21,571.00	Facility		$424.16	$424.16	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.33 / $668.35 / $1,649.37	Professional		$277.33	$668.35	$1,649.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $933.14 / $6,136.67	Facility		$424.16	$933.14	$6,136.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $281.30 / $542.67 / $1,550.36	Professional		$281.30	$542.67	$1,550.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $656.26 / $874.58 / $1,216.71	Professional		$656.26	$874.58	$1,216.71
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 $789.19 / $1,240.15 / $2,201.42	Professional		$789.19	$1,240.15	$2,201.42