Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.48 / $1,679.00 / $11,581.00	Facility		$72.48	$1,679.00	$11,581.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.75 / $14.50 / $29.61	Facility	53	$9.75	$14.50	$29.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $70.67 / $166.60	Professional		$44.30	$70.67	$166.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $45.54 / $57.69	Professional		$22.77	$45.54	$57.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.85 / $59.82 / $102.76	Professional		$42.85	$59.82	$102.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $51.51 / $61.20	Facility		$41.21	$51.51	$61.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $53.57 / $96.56	Professional		$45.33	$53.57	$96.56
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 $45.31 / $66.09 / $92.90	Professional		$45.31	$66.09	$92.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $180.07 / $518.39 / $710.34	Facility		$180.07	$518.39	$710.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $67.20 / $105.42	Professional		$45.33	$67.20	$105.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $40.43 / $53.95	Professional		$30.33	$40.43	$53.95
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $61.33 / $90.90	Professional		$45.77	$61.33	$90.90