Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.30 / $3,374.00 / $8,207.84	Facility		$714.30	$3,374.00	$8,207.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $839.70 / $4,401.00 / $5,403.00	Facility	50	$839.70	$4,401.00	$5,403.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.82 / $448.87 / $936.79	Professional		$363.82	$448.87	$936.79
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $538.94 / $1,028.30 / $1,397.64	Professional	50	$538.94	$1,028.30	$1,397.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.01 / $415.73 / $623.60	Professional		$291.01	$415.73	$623.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $548.05 / $548.05 / $548.05	Professional	50	$548.05	$548.05	$548.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.00 / $2,792.00 / $8,800.00	Facility		$1,304.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.93 / $487.61 / $798.60	Professional		$338.93	$487.61	$798.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $508.40 / $729.36 / $1,197.90	Professional	50	$508.40	$729.36	$1,197.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $457.30 / $486.40 / $498.88	Professional		$457.30	$486.40	$498.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $415.73 / $498.88 / $623.60	Facility		$415.73	$498.88	$623.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.11 / $549.26 / $823.89	Professional		$428.11	$549.26	$823.89
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 $424.57 / $582.03 / $810.74	Professional		$424.57	$582.03	$810.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,133.40 / $2,366.46 / $5,035.10	Facility		$1,133.40	$2,366.46	$5,035.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $415.73 / $579.24 / $802.77	Professional		$415.73	$579.24	$802.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.21 / $395.79 / $594.93	Professional		$67.21	$395.79	$594.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.42 / $529.46 / $824.56	Professional		$339.42	$529.46	$824.56