Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.14 / $2,406.82 / $9,998.46	Facility		$508.14	$2,406.82	$9,998.46
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $609.05 / $905.67 / $1,805.12	Facility	54	$609.05	$905.67	$1,805.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.28 / $812.08 / $1,554.93	Professional		$636.28	$812.08	$1,554.93
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $97.93 / $121.81 / $212.30	Professional	55	$97.93	$121.81	$212.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $744.44 / $967.77 / $967.77	Professional		$744.44	$967.77	$967.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,861.00 / $3,554.00 / $19,117.00	Facility		$1,861.00	$3,554.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.83 / $757.74 / $1,314.57	Professional		$545.83	$757.74	$1,314.57
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $841.22 / $841.22 / $841.22	Professional		$841.22	$841.22	$841.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $967.77 / $1,186.46 / $2,631.55	Facility		$967.77	$1,186.46	$2,631.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $693.77 / $930.55 / $1,451.66	Professional		$693.77	$930.55	$1,451.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $914.91 / $1,938.72 / $21,571.00	Facility		$914.91	$1,938.72	$21,571.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $640.44 / $640.44 / $640.44	Facility	54	$640.44	$640.44	$640.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.11 / $967.77 / $1,602.69	Professional		$679.11	$967.77	$1,602.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,090.83 / $1,938.72 / $3,475.00	Facility		$1,090.83	$1,938.72	$3,475.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $649.27 / $1,042.21 / $1,571.15	Professional		$649.27	$1,042.21	$1,571.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $565.61 / $1,004.18	Professional		$76.18	$565.61	$1,004.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.88 / $835.59 / $1,665.96	Professional		$661.88	$835.59	$1,665.96