Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.12 / $2,547.00 / $7,549.50	Facility		$377.12	$2,547.00	$7,549.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $388.98 / $3,801.48 / $9,875.64	Facility	50	$388.98	$3,801.48	$9,875.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.97 / $377.12 / $714.93	Professional		$173.97	$377.12	$714.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $345.12 / $551.77 / $1,997.78	Professional	50	$345.12	$551.77	$1,997.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $311.83 / $311.83 / $311.83	Professional	50	$311.83	$311.83	$311.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.75 / $246.93 / $425.63	Professional		$199.75	$246.93	$425.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $299.62 / $370.34 / $638.44	Professional	50	$299.62	$370.34	$638.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.77 / $216.92 / $271.16	Facility		$180.77	$216.92	$271.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $407.99 / $507.75 / $790.92	Professional		$407.99	$507.75	$790.92
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 $224.15 / $410.11 / $716.02	Professional		$224.15	$410.11	$716.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,027.17 / $2,184.44 / $4,055.32	Facility		$1,027.17	$2,184.44	$4,055.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $222.35 / $410.11 / $716.02	Professional		$222.35	$410.11	$716.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $351.79 / $525.26	Professional		$32.53	$351.79	$525.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.83 / $541.12 / $827.53	Professional		$354.83	$541.12	$827.53