Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $1,397.36 / $9,496.00	Facility		$146.41	$1,397.36	$9,496.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $911.64 / $1,955.20 / $4,555.50	Facility	50	$911.64	$1,955.20	$4,555.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $123.01 / $233.35	Professional		$97.30	$123.01	$233.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $168.66 / $316.44 / $834.00	Professional	50	$168.66	$316.44	$834.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $181.90 / $202.69	Professional		$110.44	$181.90	$202.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $198.79 / $204.63 / $208.54	Professional	50	$198.79	$204.63	$208.54
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 $88.72 / $116.36 / $189.55	Professional		$88.72	$116.36	$189.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $133.08 / $174.73 / $284.33	Professional	50	$133.08	$174.73	$284.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $125.50 / $156.87	Facility		$104.58	$125.50	$156.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $168.91 / $267.66	Professional		$129.93	$168.91	$267.66
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 $117.35 / $165.68 / $242.85	Professional		$117.35	$165.68	$242.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $323.33 / $592.55 / $758.91	Facility		$323.33	$592.55	$758.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.75 / $166.26 / $242.85	Professional		$117.75	$166.26	$242.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $141.33 / $221.09	Professional		$89.08	$141.33	$221.09
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 $106.15 / $171.55 / $246.23	Professional		$106.15	$171.55	$246.23