Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $356.00 / $8,553.00	Facility		$37.61	$356.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $45.11 / $80.03	Professional		$28.72	$45.11	$80.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.01 / $30.01 / $30.01	Professional	50	$30.01	$30.01	$30.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $41.46 / $41.46	Professional		$41.46	$41.46	$41.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $49.56 / $91.18	Professional		$26.87	$49.56	$91.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.29 / $74.34 / $136.78	Professional	50	$40.29	$74.34	$136.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $52.40 / $13,799.66	Facility		$34.93	$52.40	$13,799.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $33.22 / $51.83	Professional		$29.24	$33.22	$51.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $21,571.00	Facility		$32.22	$32.22	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $43.38 / $103.61	Professional		$26.35	$43.38	$103.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $212.09 / $212.09 / $212.09	Facility		$212.09	$212.09	$212.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $43.38 / $102.94	Professional		$26.87	$43.38	$102.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $28.76 / $32.36	Professional		$24.45	$28.76	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $49.34 / $82.60	Professional		$32.51	$49.34	$82.60