Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $740.75 / $8,553.00	Facility		$50.81	$740.75	$8,553.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $88.36 / $569.64 / $1,541.60	Facility	50	$88.36	$569.64	$1,541.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $45.67 / $95.99	Professional		$30.26	$45.67	$95.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.55 / $102.01 / $181.17	Professional	50	$60.55	$102.01	$181.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $46.26 / $63.87	Professional		$34.22	$46.26	$63.87
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $83.27 / $83.27 / $83.27	Professional	50	$83.27	$83.27	$83.27
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 $27.18 / $38.45 / $61.05	Professional		$27.18	$38.45	$61.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.65 / $57.67 / $91.58	Professional	50	$40.65	$57.67	$91.58
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $55.51 / $55.51	Professional		$52.27	$55.51	$55.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $37.84 / $47.30	Facility		$31.53	$37.84	$47.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $60.14 / $94.04	Professional		$47.90	$60.14	$94.04
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 $37.75 / $57.00 / $88.01	Professional		$37.75	$57.00	$88.01
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.28 / $501.50 / $962.66	Facility		$57.28	$501.50	$962.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $57.03 / $89.13	Professional		$37.84	$57.03	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $143.49 / $143.49 / $143.49	Professional	50	$143.49	$143.49	$143.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.09 / $101.43	Professional		$52.98	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $61.85 / $97.72	Professional		$39.84	$61.85	$97.72