Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.48 / $1,065.02 / $9,504.00	Facility		$123.48	$1,065.02	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $669.28 / $2,088.67 / $4,555.50	Facility	50	$669.28	$2,088.67	$4,555.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $118.82 / $319.08	Professional		$90.54	$118.82	$319.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.15 / $223.65 / $419.78	Professional	50	$129.15	$223.65	$419.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.47 / $110.97 / $135.10	Professional		$101.47	$110.97	$135.10
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $152.19 / $155.88 / $202.65	Professional	50	$152.19	$155.88	$202.65
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 $102.94 / $185.60 / $304.02	Professional		$102.94	$185.60	$304.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $154.41 / $278.39 / $456.04	Professional	50	$154.41	$278.39	$456.04
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $117.44 / $117.44	Professional		$117.44	$117.44	$117.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $106.70 / $128.04	Facility		$85.36	$106.70	$128.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $129.91 / $171.16	Professional		$103.93	$129.91	$171.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.20 / $60.44 / $21,571.00	Facility		$54.20	$60.44	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $137.76 / $316.75	Professional		$87.12	$137.76	$316.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.44 / $539.74 / $930.50	Facility		$60.44	$539.74	$930.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $139.33 / $308.88	Professional		$89.63	$139.33	$308.88
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $157.38 / $223.16 / $987.49	Professional	50	$157.38	$223.16	$987.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $112.03 / $153.71	Professional		$82.48	$112.03	$153.71
United Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $716.00 / $2,313.00	Facility		$245.18	$716.00	$2,313.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.44 / $128.81 / $265.67	Professional		$91.44	$128.81	$265.67