Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.10 / $2,551.79 / $8,913.00	Facility		$385.10	$2,551.79	$8,913.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,701.26 / $3,330.00 / $3,856.94	Facility	50	$2,701.26	$3,330.00	$3,856.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.79 / $366.28 / $679.43	Professional		$211.79	$366.28	$679.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $862.00 / $2,406.79	Professional	50	$114.04	$862.00	$2,406.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.24 / $124.24 / $124.24	Professional		$124.24	$124.24	$124.24
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $305.52 / $305.52 / $305.52	Professional	50	$305.52	$305.52	$305.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $377.42 / $683.13	Professional		$194.47	$377.42	$683.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $291.70 / $566.13 / $1,024.69	Professional	50	$291.70	$566.13	$1,024.69
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $264.77 / $264.77 / $264.77	Professional		$264.77	$264.77	$264.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $264.77 / $324.62 / $1,289.18	Facility		$264.77	$324.62	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.07 / $415.20 / $647.72	Professional		$225.07	$415.20	$647.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.76 / $949.77 / $21,571.00	Facility		$365.76	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $368.18 / $684.53	Professional		$224.05	$368.18	$684.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $2,215.84 / $4,081.44	Facility		$949.77	$2,215.84	$4,081.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $368.18 / $679.78	Professional		$225.05	$368.18	$679.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.58 / $302.04 / $470.73	Professional		$34.58	$302.04	$470.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $448.42 / $815.50	Professional		$338.67	$448.42	$815.50