Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.73 / $5,146.93 / $10,266.68	Facility		$933.73	$5,146.93	$10,266.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,340.75 / $7,462.74 / $8,559.00	Facility	50	$2,340.75	$7,462.74	$8,559.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.97 / $1,119.45 / $2,170.15	Professional		$304.97	$1,119.45	$2,170.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.03 / $338.33 / $1,290.10	Professional		$242.03	$338.33	$1,290.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $3,683.00 / $15,092.00	Facility		$2,009.00	$3,683.00	$15,092.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.27 / $942.36 / $2,933.71	Professional		$299.27	$942.36	$2,933.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $448.93 / $1,413.54 / $4,363.24	Professional	50	$448.93	$1,413.54	$4,363.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.25 / $325.31 / $386.54	Facility		$260.25	$325.31	$386.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,013.66 / $1,244.04 / $2,073.67	Professional		$1,013.66	$1,244.04	$2,073.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $978.33 / $2,577.73	Professional		$297.95	$978.33	$2,577.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,622.00 / $3,255.01 / $7,130.93	Facility		$2,622.00	$3,255.01	$7,130.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $312.30 / $1,105.81 / $2,648.00	Professional		$312.30	$1,105.81	$2,648.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $843.71 / $1,116.36 / $1,512.95	Professional		$843.71	$1,116.36	$1,512.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,904.00 / $6,111.00 / $9,245.00	Facility		$2,904.00	$6,111.00	$9,245.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.04 / $1,807.17 / $2,668.99	Professional		$1,244.04	$1,807.17	$2,668.99