Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.63 / $4,197.00 / $10,451.67	Facility		$500.63	$4,197.00	$10,451.67
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,104.97 / $9,031.50 / $13,314.00	Facility	50	$6,104.97	$9,031.50	$13,314.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.13 / $483.16 / $883.30	Professional		$297.13	$483.16	$883.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $148.57 / $227.56 / $441.65	Professional	52	$148.57	$227.56	$441.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $234.92 / $315.75	Professional		$176.82	$234.92	$315.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.66 / $470.90 / $837.50	Professional		$352.66	$470.90	$837.50
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $528.99 / $706.35 / $1,219.40	Professional	50	$528.99	$706.35	$1,219.40
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $429.63 / $429.63 / $429.63	Professional		$429.63	$429.63	$429.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.64 / $375.18 / $473.63	Facility		$257.64	$375.18	$473.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $418.22 / $470.24 / $741.39	Professional		$418.22	$470.24	$741.39
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 $288.92 / $513.04 / $964.07	Professional		$288.92	$513.04	$964.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,730.46 / $4,782.09 / $8,302.89	Facility		$1,730.46	$4,782.09	$8,302.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $528.34 / $964.07	Professional		$277.86	$528.34	$964.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $375.47 / $544.16	Professional		$33.88	$375.47	$544.16
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 $434.74 / $623.71 / $936.27	Professional		$434.74	$623.71	$936.27