Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $208.92 / $9,516.00	Facility		$52.43	$208.92	$9,516.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $59.72 / $983.00 / $1,297.20	Facility	50	$59.72	$983.00	$1,297.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $77.80 / $160.35	Professional		$47.66	$77.80	$160.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $149.01 / $298.48 / $342.05	Professional	50	$149.01	$298.48	$342.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $62.08	Professional		$62.08	$62.08	$62.08
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 $47.09 / $82.76 / $169.68	Professional		$47.09	$82.76	$169.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.63 / $124.14 / $254.52	Professional	50	$70.63	$124.14	$254.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $58.64 / $91.64	Facility		$48.87	$58.64	$91.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $97.69 / $142.43	Professional		$80.34	$97.69	$142.43
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 $57.36 / $94.22 / $221.77	Professional		$57.36	$94.22	$221.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $170.77 / $208.09	Facility		$170.77	$170.77	$208.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $94.95 / $221.77	Professional		$59.75	$94.95	$221.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $78.33 / $105.09	Professional		$58.12	$78.33	$105.09
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $113.15 / $185.60	Professional		$75.83	$113.15	$185.60