Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.30 / $1,883.00 / $8,668.12	Facility		$165.30	$1,883.00	$8,668.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $440.56 / $1,748.92	Professional		$94.35	$440.56	$1,748.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $100.22 / $769.38	Professional		$82.76	$100.22	$769.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $1,312.10 / $2,516.44	Professional		$109.07	$1,312.10	$2,516.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $163.60 / $1,968.15 / $3,629.46	Professional	50	$163.60	$1,968.15	$3,629.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $104.39 / $133.10	Facility		$83.51	$104.39	$133.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $869.48 / $1,454.45 / $127,498.73	Professional		$869.48	$1,454.45	$127,498.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $150.18 / $21,571.00	Facility		$75.00	$150.18	$21,571.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $271.42 / $1,981.76	Professional		$97.22	$271.42	$1,981.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $1,395.73 / $4,014.08	Facility		$75.00	$1,395.73	$4,014.08
Medical Mutual of Ohio Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $205.23 / $1,863.21	Professional		$100.22	$205.23	$1,863.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $951.38 / $1,329.46	Professional		$705.78	$951.38	$1,329.46
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,017.00 / $3,398.00	Facility		$444.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.08 / $1,630.47 / $2,924.82	Professional		$1,067.08	$1,630.47	$2,924.82