Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.45 / $5,447.00 / $9,749.45	Facility		$917.45	$5,447.00	$9,749.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.38 / $652.80 / $2,110.33	Facility	52	$116.38	$652.80	$2,110.33
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.55 / $261.12 / $844.13	Facility	53	$46.55	$261.12	$844.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $556.74 / $2,113.92	Professional		$232.76	$556.74	$2,113.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $46.55 / $151.58 / $316.68	Professional	53	$46.55	$151.58	$316.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.57 / $230.28 / $1,014.23	Professional		$199.57	$230.28	$1,014.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $3,366.00 / $8,800.00	Facility		$1,191.00	$3,366.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $322.58 / $1,446.67	Professional		$232.19	$322.58	$1,446.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.31 / $274.14 / $325.73	Facility		$219.31	$274.14	$325.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,225.99 / $1,448.90 / $2,480.87	Professional		$1,225.99	$1,448.90	$2,480.87
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 $252.21 / $479.40 / $2,007.23	Professional		$252.21	$479.40	$2,007.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,720.85 / $3,682.54 / $10,638.60	Facility		$1,720.85	$3,682.54	$10,638.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $255.15 / $516.13 / $2,075.07	Professional		$255.15	$516.13	$2,075.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,033.89 / $1,399.20 / $1,953.73	Professional		$1,033.89	$1,399.20	$1,953.73
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 $371.93 / $1,518.50 / $2,723.24	Professional		$371.93	$1,518.50	$2,723.24