Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,759.84 / $7,057.52 / $16,664.32	Facility		$2,759.84	$7,057.52	$16,664.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,916.24 / $7,986.00 / $21,561.72	Facility	50	$5,916.24	$7,986.00	$21,561.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.82 / $575.14 / $1,176.80	Professional		$410.82	$575.14	$1,176.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,565.27 / $1,565.27 / $1,565.27	Professional		$1,565.27	$1,565.27	$1,565.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $452.71 / $770.94	Professional		$341.88	$452.71	$770.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.90 / $487.38 / $579.11	Facility		$389.90	$487.38	$579.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $506.87 / $913.51	Professional		$428.89	$506.87	$913.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $545.86 / $824.74	Professional		$360.82	$545.86	$824.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,967.43 / $6,812.81 / $13,663.16	Facility		$2,967.43	$6,812.81	$13,663.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $391.25 / $559.60 / $824.74	Professional		$391.25	$559.60	$824.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $478.40 / $636.13	Professional		$359.07	$478.40	$636.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,206.00 / $6,578.00 / $10,075.00	Facility		$3,206.00	$6,578.00	$10,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.51 / $527.77 / $915.38	Professional		$398.51	$527.77	$915.38