Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,913.75 / $7,231.68 / $23,756.62	Facility		$1,913.75	$7,231.68	$23,756.62
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,312.00 / $3,312.00 / $3,312.00	Facility	22	$3,312.00	$3,312.00	$3,312.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,662.00 / $9,168.00 / $21,870.55	Facility	50	$4,662.00	$9,168.00	$21,870.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $526.67 / $1,410.08	Professional		$361.88	$526.67	$1,410.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $538.40 / $641.92	Professional		$269.20	$538.40	$641.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.00 / $4,421.00 / $25,522.00	Facility		$2,082.00	$4,421.00	$25,522.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.34 / $476.65 / $762.52	Professional		$330.34	$476.65	$762.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.15 / $496.98 / $621.23	Facility		$414.15	$496.98	$621.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $414.15 / $538.40 / $960.22	Professional		$414.15	$538.40	$960.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.18 / $3,969.14 / $5,819.95	Facility		$493.18	$3,969.14	$5,819.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.32 / $568.99 / $864.46	Professional		$411.32	$568.99	$864.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,294.73 / $5,297.06 / $14,113.59	Facility		$2,294.73	$5,297.06	$14,113.59
Medical Mutual of Ohio Facility/Professional Facility Modifier AS Low / Median / High Price $48.91 / $48.91 / $48.91	Facility	AS	$48.91	$48.91	$48.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $399.01 / $579.80 / $843.98	Professional		$399.01	$579.80	$843.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $380.92 / $581.54	Professional		$52.54	$380.92	$581.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $7,705.00 / $12,871.00	Facility		$1,275.00	$7,705.00	$12,871.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.90 / $507.99 / $900.53	Professional		$360.90	$507.99	$900.53