Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.15 / $2,785.00 / $9,504.00	Facility		$482.15	$2,785.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,390.80 / $2,390.80 / $6,293.76	Facility	50	$2,390.80	$2,390.80	$6,293.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $438.32 / $831.49	Professional		$344.18	$438.32	$831.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $258.77 / $291.45	Professional		$258.77	$258.77	$291.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.20 / $423.53 / $771.36	Professional		$291.20	$423.53	$771.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.19 / $572.76 / $1,289.18	Facility		$467.19	$572.76	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.11 / $503.74 / $785.84	Professional		$397.11	$503.74	$785.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $949.77 / $21,571.00	Facility		$646.05	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.82 / $521.10 / $877.32	Professional		$354.82	$521.10	$877.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $2,914.64	Facility		$949.77	$1,059.09	$2,914.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $354.82 / $526.34 / $825.80	Professional		$354.82	$526.34	$825.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $302.43 / $517.38	Professional		$75.13	$302.43	$517.38
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 $369.95 / $466.89 / $943.09	Professional		$369.95	$466.89	$943.09