Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $2,606.00 / $33,749.10	Facility		$170.29	$2,606.00	$33,749.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $46.53 / $115.50 / $331.22	Facility	52	$46.53	$115.50	$331.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $18.61 / $46.20 / $132.49	Facility	53	$18.61	$46.20	$132.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.06 / $183.63 / $388.44	Professional		$93.06	$183.63	$388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $95.14 / $125.40	Professional		$85.59	$95.14	$125.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $211.26 / $381.20	Professional		$102.90	$211.26	$381.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $99.10 / $117.75	Facility		$79.28	$99.10	$117.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $245.96 / $427.99	Professional		$208.12	$245.96	$427.99
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 $91.17 / $194.75 / $369.69	Professional		$91.17	$194.75	$369.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,435.59 / $1,726.30 / $2,616.71	Facility		$1,435.59	$1,726.30	$2,616.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $201.30 / $375.06	Professional		$96.72	$201.30	$375.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.69 / $224.86 / $308.40	Professional		$170.69	$224.86	$308.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,132.00	Facility		$1,020.00	$1,940.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $285.25 / $426.70	Professional		$210.60	$285.25	$426.70