Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $241.77 / $1,733.07	Facility		$72.73	$241.77	$1,733.07
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $367.48 / $367.48 / $535.10	Facility	50	$367.48	$367.48	$535.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.96 / $83.95 / $196.64	Professional		$43.96	$83.95	$196.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $116.01 / $309.06 / $734.90	Professional	50	$116.01	$309.06	$734.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $58.50 / $125.80	Professional		$55.50	$58.50	$125.80
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 $41.39 / $56.52 / $104.75	Professional		$41.39	$56.52	$104.75
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.08 / $84.78 / $157.12	Professional	50	$62.08	$84.78	$157.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.12 / $56.40 / $67.02	Facility		$45.12	$56.40	$67.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $96.20 / $168.65	Professional		$81.40	$96.20	$168.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $92.24 / $188.34	Professional		$54.15	$92.24	$188.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $147.15 / $292.43	Facility		$88.85	$147.15	$292.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $94.76 / $188.34	Professional		$55.31	$94.76	$188.34
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $160.32 / $160.32 / $160.32	Professional	50	$160.32	$160.32	$160.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $115.47 / $157.15	Professional		$85.34	$115.47	$157.15
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $108.96 / $174.67	Professional		$76.23	$108.96	$174.67