Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $519.00 / $6,582.00	Facility		$78.39	$519.00	$6,582.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $728.95 / $728.95 / $728.95	Facility	50	$728.95	$728.95	$728.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.07 / $98.24 / $184.56	Professional		$46.07	$98.24	$184.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $276.95 / $927.00	Professional	50	$54.53	$276.95	$927.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $68.95 / $118.20	Professional		$68.95	$68.95	$118.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $61.03 / $105.88	Professional		$42.80	$61.03	$105.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.20 / $91.55 / $158.83	Professional	50	$64.20	$91.55	$158.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.25 / $59.10 / $73.88	Facility		$49.25	$59.10	$73.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $132.97 / $207.14	Professional		$104.40	$132.97	$207.14
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 $58.61 / $112.20 / $195.69	Professional		$58.61	$112.20	$195.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $485.50 / $1,160.13	Facility		$87.90	$485.50	$1,160.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $112.52 / $200.76	Professional		$58.61	$112.52	$200.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.46 / $104.97 / $150.61	Professional		$78.46	$104.97	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $136.27 / $211.89	Professional		$88.06	$136.27	$211.89