Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,760.83 / $12,022.64	Facility		$1,023.29	$6,760.83	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $7,079.46 / $20,417.38	Facility	50	$3,630.78	$7,079.46	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,290.87	Professional		$478.63	$776.25	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $741.31	Professional		$426.58	$549.54	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,388.44 / $15,135.61	Facility		$1,071.52	$3,388.44	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $851.14	Professional		$446.68	$549.54	$851.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $707.95	Facility		$489.78	$602.56	$707.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $724.44	Professional		$501.19	$630.96	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $891.25 / $3,467.37	Facility		$691.83	$891.25	$3,467.37
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,148.15	Professional		$426.58	$660.69	$1,148.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,467.37 / $6,606.93	Facility		$891.25	$3,467.37	$6,606.93
Medical Mutual of Ohio Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,071.52	Professional		$363.08	$660.69	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $4,365.16	Facility		$100.00	$100.00	$4,365.16
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $616.60 / $1,148.15	Professional		$512.86	$616.60	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,128.61 / $8,511.38	Facility		$933.25	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $933.25	Professional		$416.87	$562.34	$933.25