Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.66 / $1,883.00 / $8,956.00	Facility		$292.66	$1,883.00	$8,956.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,991.50 / $3,991.50 / $4,089.00	Facility	50	$3,991.50	$3,991.50	$4,089.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.11 / $426.57 / $919.52	Professional		$224.11	$426.57	$919.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $654.12 / $945.42 / $1,082.38	Professional	50	$654.12	$945.42	$1,082.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.11 / $220.83 / $287.08	Professional		$215.11	$220.83	$287.08
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 $273.58 / $446.77 / $753.25	Professional		$273.58	$446.77	$753.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $410.39 / $670.15 / $1,129.88	Professional	50	$410.39	$670.15	$1,129.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $249.54 / $249.54	Professional		$249.54	$249.54	$249.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.26 / $246.58 / $295.89	Facility		$197.26	$246.58	$295.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.83 / $276.04 / $363.69	Professional		$220.83	$276.04	$363.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $149.93 / $21,571.00	Facility		$134.44	$149.93	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.88 / $438.08 / $925.90	Professional		$200.88	$438.08	$925.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $639.84 / $1,930.26	Facility		$134.44	$639.84	$1,930.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $226.84 / $449.72 / $849.02	Professional		$226.84	$449.72	$849.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $238.96 / $337.06	Professional		$181.46	$238.96	$337.06
United Facility/Professional Facility Modifier Low / Median / High Price $745.00 / $1,848.00 / $3,923.00	Facility		$745.00	$1,848.00	$3,923.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $539.54 / $1,116.90	Professional		$377.68	$539.54	$1,116.90