Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.06 / $2,646.00 / $9,496.00	Facility		$265.06	$2,646.00	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $272.39 / $500.19	Professional		$146.88	$272.39	$500.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $388.74 / $388.74 / $572.76	Professional	50	$388.74	$388.74	$572.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $230.36 / $336.77	Professional		$66.76	$230.36	$336.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,786.00 / $8,800.00	Facility		$1,145.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $236.97 / $448.77	Professional		$120.63	$236.97	$448.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.95 / $355.45 / $673.16	Professional	50	$180.95	$355.45	$673.16
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $279.89 / $279.89	Professional		$279.89	$279.89	$279.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $229.92 / $281.31	Facility		$187.54	$229.92	$281.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $309.61 / $483.00	Professional		$159.41	$309.61	$483.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $198.00 / $21,571.00	Facility		$177.56	$198.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.47 / $279.08 / $499.08	Professional		$151.47	$279.08	$499.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $198.00	Facility		$177.56	$177.56	$198.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $279.93 / $478.47	Professional		$160.63	$279.93	$478.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $234.90 / $365.62	Professional		$32.34	$234.90	$365.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,721.00 / $5,268.00	Facility		$1,689.00	$2,721.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.94 / $299.05 / $586.42	Professional		$236.94	$299.05	$586.42