Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.51 / $1,778.00 / $8,553.00	Facility		$421.51	$1,778.00	$8,553.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $918.19 / $4,555.50 / $7,920.00	Facility	50	$918.19	$4,555.50	$7,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $543.17 / $1,422.87	Professional		$301.08	$543.17	$1,422.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $731.43 / $939.21 / $1,028.74	Professional	50	$731.43	$939.21	$1,028.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.54 / $310.76 / $403.99	Professional		$274.54	$310.76	$403.99
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $418.84 / $418.84 / $569.14	Professional	50	$418.84	$418.84	$569.14
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 $343.45 / $952.15 / $1,657.76	Professional		$343.45	$952.15	$1,657.76
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $515.16 / $1,448.25 / $2,486.64	Professional	50	$515.16	$1,448.25	$2,486.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $351.16 / $351.16 / $351.16	Professional		$351.16	$351.16	$351.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.23 / $349.04 / $418.85	Facility		$279.23	$349.04	$418.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $388.45 / $511.80	Professional		$310.76	$388.45	$511.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $177.97 / $21,571.00	Facility		$159.60	$177.97	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $450.60 / $1,477.98	Professional		$280.55	$450.60	$1,477.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $724.66 / $1,833.78	Facility		$159.60	$724.66	$1,833.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $293.19 / $501.57 / $1,513.34	Professional		$293.19	$501.57	$1,513.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $273.50 / $413.27	Professional		$32.34	$273.50	$413.27
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 $314.08 / $454.70 / $1,165.70	Professional		$314.08	$454.70	$1,165.70