Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $1,679.00 / $9,504.00	Facility		$82.70	$1,679.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $772.60 / $3,190.50 / $8,599.58	Facility	50	$772.60	$3,190.50	$8,599.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $87.08 / $240.77	Professional		$48.65	$87.08	$240.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $135.22 / $177.72 / $177.72	Professional	50	$135.22	$177.72	$177.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.73 / $89.73 / $89.73	Professional		$89.73	$89.73	$89.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $76.75 / $132.99	Professional		$52.01	$76.75	$132.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.01 / $115.12 / $199.48	Professional	50	$78.01	$115.12	$199.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $62.41 / $82.89	Facility		$48.63	$62.41	$82.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $125.62 / $127,498.73	Professional		$98.70	$125.62	$127,498.73
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 $62.42 / $113.24 / $210.83	Professional		$62.42	$113.24	$210.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $483.57 / $1,690.54	Facility		$93.73	$483.57	$1,690.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $115.03 / $214.96	Professional		$62.42	$115.03	$214.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $131.94 / $227.50	Professional		$76.98	$131.94	$227.50