Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.23 / $1,810.00 / $8,386.90	Facility		$559.23	$1,810.00	$8,386.90
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $85.83 / $279.62 / $888.36	Facility	52	$85.83	$279.62	$888.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $317.14 / $959.07	Professional		$171.66	$317.14	$959.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.59 / $150.27 / $231.18	Professional		$115.59	$150.27	$231.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,443.00 / $8,800.00	Facility		$918.00	$2,443.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $217.63 / $648.41	Professional		$151.99	$217.63	$648.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.13 / $198.16 / $245.26	Facility		$165.13	$198.16	$245.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.41 / $570.61 / $674.36	Professional		$206.41	$570.61	$674.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.07 / $885.00 / $1,309.85	Facility		$297.07	$885.00	$1,309.85
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.01 / $355.00 / $936.97	Professional		$185.01	$355.00	$936.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,042.24 / $2,522.89	Facility		$508.00	$1,042.24	$2,522.89
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $237.66 / $237.66 / $237.66	Facility	52	$237.66	$237.66	$237.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $189.99 / $344.25 / $930.32	Professional		$189.99	$344.25	$930.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.71 / $631.17 / $878.17	Professional		$455.71	$631.17	$878.17
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.53 / $611.24 / $1,148.15	Professional		$211.53	$611.24	$1,148.15