Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.80 / $2,000.35 / $9,504.00	Facility		$215.80	$2,000.35	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,978.92 / $3,978.92 / $3,978.92	Facility	50	$3,978.92	$3,978.92	$3,978.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $171.53 / $399.22	Professional		$64.77	$171.53	$399.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $67.45 / $579.72	Professional		$61.33	$67.45	$579.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $169.91 / $367.71	Professional		$80.51	$169.91	$367.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $92.13 / $98.87	Facility		$63.28	$92.13	$98.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $304.85 / $346.43 / $540.41	Professional		$304.85	$346.43	$540.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $21,571.00	Facility		$111.69	$111.69	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $173.67 / $494.54	Professional		$70.40	$173.67	$494.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $238.05	Facility		$111.69	$111.69	$238.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $140.60 / $481.76	Professional		$70.50	$140.60	$481.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $322.32 / $456.83	Professional		$244.45	$322.32	$456.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $1,930.00 / $4,067.00	Facility		$1,075.00	$1,930.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $278.89 / $577.83	Professional		$174.26	$278.89	$577.83