Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $8,912.51 / $12,302.69	Facility		$812.83	$8,912.51	$12,302.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Facility	50	$20,892.96	$20,892.96	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,778.28 / $3,890.45	Professional		$446.68	$1,778.28	$3,890.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $676.08	Professional		$234.42	$323.59	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,677.35 / $15,135.61	Facility		$1,949.84	$4,677.35	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,479.11 / $4,073.80	Professional		$436.52	$1,479.11	$4,073.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $3,235.94	Professional		$446.68	$891.25	$3,235.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $3,311.31	Professional		$446.68	$891.25	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $22,387.21	Facility		$100.00	$100.00	$22,387.21
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,584.89 / $3,548.13	Professional		$407.38	$1,584.89	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,332.54 / $14,125.38	Facility		$4,265.80	$9,332.54	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,445.44 / $3,388.44	Professional		$457.09	$1,445.44	$3,388.44