Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.00 / $2,422.94 / $9,460.16	Facility		$427.00	$2,422.94	$9,460.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,037.00 / $3,037.00 / $8,438.86	Facility	50	$3,037.00	$3,037.00	$8,438.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $155.91 / $299.81	Professional		$130.46	$155.91	$299.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $156.76 / $169.83	Professional		$118.88	$156.76	$169.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $163.30 / $292.95	Professional		$124.29	$163.30	$292.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $163.30 / $194.04	Facility		$130.63	$163.30	$194.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $169.83 / $312.44	Professional		$143.69	$169.83	$312.44
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 $142.21 / $194.98 / $286.30	Professional		$142.21	$194.98	$286.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,063.55 / $2,857.17 / $7,261.43	Facility		$1,063.55	$2,857.17	$7,261.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $196.73 / $281.83	Professional		$142.21	$196.73	$281.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $199.92 / $264.88	Professional		$149.52	$199.92	$264.88
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 $133.71 / $180.67 / $311.30	Professional		$133.71	$180.67	$311.30