Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.18 / $2,216.11 / $5,922.00	Facility		$380.18	$2,216.11	$5,922.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $972.46 / $3,757.50 / $9,656.02	Facility	50	$972.46	$3,757.50	$9,656.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $380.18 / $721.20	Professional		$180.31	$380.18	$721.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $308.87 / $609.88 / $2,688.53	Professional	50	$308.87	$609.88	$2,688.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $189.77 / $393.78	Professional		$189.77	$189.77	$393.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $244.26 / $284.64 / $590.66	Professional	50	$244.26	$284.64	$590.66
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 $195.82 / $248.55 / $432.42	Professional		$195.82	$248.55	$432.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $293.73 / $370.31 / $648.63	Professional	50	$293.73	$370.31	$648.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.73 / $216.88 / $271.10	Facility		$180.73	$216.88	$271.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $411.58 / $511.91 / $797.40	Professional		$411.58	$511.91	$797.40
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 $224.11 / $404.76 / $722.40	Professional		$224.11	$404.76	$722.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $674.79 / $1,437.46 / $3,135.51	Facility		$674.79	$1,437.46	$3,135.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $404.29 / $712.07	Professional		$222.30	$404.29	$712.07
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $511.20 / $511.20 / $511.20	Professional	50	$511.20	$511.20	$511.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $347.98 / $538.45	Professional		$30.67	$347.98	$538.45
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 $340.98 / $542.69 / $784.38	Professional		$340.98	$542.69	$784.38