Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $177.83 / $11,748.98	Facility		$39.81	$177.83	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $138.04	Professional		$36.31	$52.48	$138.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $87.10 / $489.78	Professional	50	$53.70	$87.10	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $60.26 / $114.82	Professional		$33.11	$60.26	$114.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $50.12 / $91.20 / $173.78	Professional	50	$50.12	$91.20	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $537.03 / $812.83	Facility		$43.65	$537.03	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $125.89	Professional		$32.36	$52.48	$125.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $125.89	Professional		$33.88	$53.70	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $549.54	Facility		$100.00	$100.00	$549.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $91.20	Professional		$32.36	$40.74	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $912.01 / $2,951.21	Facility		$223.87	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11