Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,949.84 / $10,232.93	Facility		$177.83	$1,949.84	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	50	$3,715.35	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $263.03 / $912.01	Professional		$51.29	$263.03	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $269.15 / $676.08	Professional		$52.48	$269.15	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $60.26	Facility		$50.12	$53.70	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $616.60	Professional		$57.54	$117.49	$616.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $144.54 / $676.08	Professional		$58.88	$144.54	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $38.02	Professional		$32.36	$33.11	$38.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $851.14	Facility		$100.00	$100.00	$851.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $380.19 / $724.44	Professional		$47.86	$380.19	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $239.88 / $588.84	Professional		$53.70	$239.88	$588.84