Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,089.30 / $10,232.93	Facility		$331.13	$2,089.30	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,981.07 / $3,981.07 / $4,073.80	Facility	50	$3,981.07	$3,981.07	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $457.09 / $1,230.27	Professional		$234.42	$457.09	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $1,071.52 / $2,691.53	Professional	50	$660.69	$1,071.52	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $309.03	Professional		$194.98	$223.87	$309.03
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 $234.42 / $457.09 / $812.83	Professional		$234.42	$457.09	$812.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $676.08 / $1,230.27	Professional	50	$354.81	$676.08	$1,230.27
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $251.19	Professional		$234.42	$234.42	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $204.17 / $263.03	Facility		$181.97	$204.17	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $302.00	Professional		$218.78	$245.47	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $21,379.62	Facility		$134.90	$151.36	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $870.96	Professional		$199.53	$389.05	$870.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,000.00 / $21,379.62	Facility		$134.90	$1,000.00	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $870.96	Professional		$218.78	$446.68	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $100.00 / $676.08	Facility		$83.18	$100.00	$676.08
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $691.83	Professional		$199.53	$269.15	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,862.09 / $4,073.80	Facility		$676.08	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $891.25	Professional		$316.23	$512.86	$891.25