Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $1,096.48 / $9,120.11	Facility		$79.43	$1,096.48	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $316.23 / $870.96 / $954.99	Facility	50	$316.23	$870.96	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $199.53	Professional		$48.98	$89.13	$199.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $288.40 / $489.78	Professional	50	$138.04	$288.40	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $50.12 / $173.78	Professional		$43.65	$50.12	$173.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $107.15 / $107.15 / $257.04	Professional	50	$107.15	$107.15	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $2,511.89	Facility		$1,905.46	$2,344.23	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $100.00	Professional		$46.77	$63.10	$100.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $95.50 / $151.36	Professional	50	$70.79	$95.50	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $66.07	Facility		$47.86	$57.54	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $128.82	Professional		$89.13	$112.20	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $93.33 / $154.88	Professional		$56.23	$93.33	$154.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $1,905.46	Facility		$645.65	$741.31	$1,905.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $158.49	Professional		$54.95	$93.33	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $97.72 / $147.91	Professional		$46.77	$97.72	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $79.43 / $141.25	Professional		$45.71	$79.43	$141.25