Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.29 / $3,337.00 / $9,504.00	Facility		$698.29	$3,337.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.74 / $0.74 / $1.49	Facility	50	$0.74	$0.74	$1.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.76 / $547.90 / $972.68	Professional		$410.76	$547.90	$972.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $476.66 / $476.66	Professional		$278.05	$476.66	$476.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $466.11 / $829.12	Professional		$286.66	$466.11	$829.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.22 / $476.66 / $744.80	Facility		$397.22	$476.66	$744.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.32 / $541.32 / $959.61	Professional		$541.32	$541.32	$959.61
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 $421.19 / $618.48 / $963.51	Professional		$421.19	$618.48	$963.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.73 / $5,087.02 / $10,339.36	Facility		$0.73	$5,087.02	$10,339.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $421.70 / $634.59 / $976.69	Professional		$421.70	$634.59	$976.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $487.95 / $725.41	Professional		$75.93	$487.95	$725.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.05 / $636.76 / $1,093.25	Professional		$457.05	$636.76	$1,093.25