Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.64 / $2,756.00 / $9,438.08	Facility		$259.64	$2,756.00	$9,438.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.40 / $71.87 / $186.28	Facility	53	$29.40	$71.87	$186.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $338.36 / $762.30	Professional		$147.01	$338.36	$762.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Professional		$187.40	$187.40	$187.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,742.00 / $8,800.00	Facility		$1,152.00	$2,742.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.63 / $235.20 / $439.64	Professional		$165.63	$235.20	$439.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.15 / $172.98 / $214.10	Facility		$144.15	$172.98	$214.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.26 / $340.09 / $340.09	Professional		$272.26	$340.09	$340.09
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 $175.86 / $309.62 / $559.67	Professional		$175.86	$309.62	$559.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $971.24 / $2,651.43 / $4,159.24	Facility		$971.24	$2,651.43	$4,159.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $331.94 / $563.66	Professional		$178.75	$331.94	$563.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $283.59 / $385.20 / $524.37	Professional		$283.59	$385.20	$524.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $373.72 / $657.47	Professional		$264.24	$373.72	$657.47