Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $221.34 / $10,635.00	Facility		$22.10	$221.34	$10,635.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $727.56 / $727.56 / $803.72	Facility	50	$727.56	$727.56	$803.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $35.42 / $77.34	Professional		$18.91	$35.42	$77.34
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $20.03 / $44.36 / $83.84	Professional	50	$20.03	$44.36	$83.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $4.91 / $4.91	Professional		$4.91	$4.91	$4.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $40.95 / $40.95 / $40.95	Professional	50	$40.95	$40.95	$40.95
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 $26.54 / $46.48 / $78.36	Professional		$26.54	$46.48	$78.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $69.72 / $117.54	Professional	50	$39.81	$69.72	$117.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $39.89 / $13,799.66	Facility		$26.59	$39.89	$13,799.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $22.60 / $34.13	Professional		$19.25	$22.60	$34.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $21,571.00	Facility		$21.22	$21.22	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $30.94 / $92.07	Professional		$18.05	$30.94	$92.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $32.11 / $91.41	Professional		$18.72	$32.11	$91.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $21.31 / $24.36	Professional		$20.71	$21.31	$24.36
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 $22.47 / $39.54 / $69.06	Professional		$22.47	$39.54	$69.06