Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.54 / $2,206.90 / $9,534.00	Facility		$51.54	$2,206.90	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $76.42 / $132.46	Professional		$46.85	$76.42	$132.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $225.04 / $225.04 / $225.04	Professional	50	$225.04	$225.04	$225.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $58.02 / $61.30	Professional		$46.16	$58.02	$61.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $87.03 / $87.03 / $91.94	Professional	50	$87.03	$87.03	$91.94
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 $56.22 / $82.02 / $159.25	Professional		$56.22	$82.02	$159.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $84.34 / $123.03 / $238.87	Professional	50	$84.34	$123.03	$238.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $64.34 / $84.48	Facility		$29.26	$64.34	$84.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $58.94 / $91.95	Professional		$47.87	$58.94	$91.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $24.04 / $21,571.00	Facility		$21.56	$24.04	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $71.73 / $179.57	Professional		$43.72	$71.73	$179.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $21.56 / $24.04	Facility		$21.56	$21.56	$24.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $74.65 / $171.48	Professional		$47.65	$74.65	$171.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $75.89 / $102.58	Professional		$54.68	$75.89	$102.58
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.22 / $81.01 / $136.01	Professional		$54.22	$81.01	$136.01