Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.26 / $2,485.00 / $9,504.00	Facility		$84.26	$2,485.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $81.48 / $181.89	Professional		$61.05	$81.48	$181.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $165.92 / $165.92 / $165.92	Professional	50	$165.92	$165.92	$165.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $93.34	Professional		$77.23	$77.23	$93.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $71.28 / $142.11	Professional		$50.39	$71.28	$142.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $75.58 / $106.88 / $213.16	Professional	50	$75.58	$106.88	$213.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.04 / $119.78 / $13,928.56	Facility		$83.04	$119.78	$13,928.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $93.85 / $146.40	Professional		$70.59	$93.85	$146.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $49.08 / $21,571.00	Facility		$44.02	$49.08	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $95.12 / $177.51	Professional		$66.11	$95.12	$177.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $49.08 / $1,702.11	Facility		$44.02	$49.08	$1,702.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $96.26 / $150.08	Professional		$67.08	$96.26	$150.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $76.13 / $102.79	Professional		$56.31	$76.13	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,368.00 / $2,474.00 / $4,951.00	Facility		$1,368.00	$2,474.00	$4,951.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $88.29 / $174.81	Professional		$69.70	$88.29	$174.81