Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.53 / $2,678.03 / $8,956.00	Facility		$529.53	$2,678.03	$8,956.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,622.75 / $2,919.75 / $6,277.24	Facility	50	$2,622.75	$2,919.75	$6,277.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.07 / $1,012.34 / $2,489.11	Professional		$316.07	$1,012.34	$2,489.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $368.06 / $683.04 / $956.24	Professional	50	$368.06	$683.04	$956.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $258.50 / $303.42	Professional		$129.25	$258.50	$303.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $192.95 / $227.57 / $890.31	Professional	50	$192.95	$227.57	$890.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.27 / $612.02 / $2,968.66	Professional		$295.27	$612.02	$2,968.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $442.90 / $918.03 / $4,478.21	Professional	50	$442.90	$918.03	$4,478.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $277.95 / $333.55 / $449.25	Facility		$277.95	$333.55	$449.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,214.44 / $1,536.03 / $2,003.83	Professional		$1,214.44	$1,536.03	$2,003.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $500.98 / $21,571.00	Facility		$500.98	$500.98	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.96 / $894.17 / $2,793.21	Professional		$328.96	$894.17	$2,793.21
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $500.98 / $1,919.29 / $4,725.29	Facility		$500.98	$1,919.29	$4,725.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $666.50 / $2,553.92	Professional		$330.09	$666.50	$2,553.92
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $215.38 / $215.38 / $215.38	Professional	50	$215.38	$215.38	$215.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,082.09 / $1,446.65 / $2,007.52	Professional		$1,082.09	$1,446.65	$2,007.52
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 $1,309.71 / $2,074.92 / $3,583.80	Professional		$1,309.71	$2,074.92	$3,583.80