Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.17 / $7,716.00 / $25,926.79	Facility		$1,032.17	$7,716.00	$25,926.79
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $281.92 / $502.50 / $912.73	Facility	52	$281.92	$502.50	$912.73
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $112.77 / $201.00 / $365.09	Facility	53	$112.77	$201.00	$365.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $775.22 / $1,965.00	Professional		$530.37	$775.22	$1,965.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $603.20 / $658.03	Professional		$548.36	$603.20	$658.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $9,287.00 / $36,529.00	Facility		$2,097.00	$9,287.00	$36,529.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.28 / $667.27 / $1,033.88	Professional		$513.28	$667.27	$1,033.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.36 / $685.45 / $814.45	Facility		$548.36	$685.45	$814.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $603.20 / $712.87 / $1,312.57	Professional		$603.20	$712.87	$1,312.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,613.00 / $20,065.00 / $23,000.00	Facility		$11,613.00	$20,065.00	$23,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.19 / $819.35 / $1,145.36	Professional		$603.19	$819.35	$1,145.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9,046.00 / $13,949.35 / $22,260.60	Facility		$9,046.00	$13,949.35	$22,260.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $630.61 / $804.84 / $1,143.06	Professional		$630.61	$804.84	$1,143.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $505.37 / $662.79 / $883.72	Professional		$505.37	$662.79	$883.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,070.00 / $9,125.00 / $31,434.00	Facility		$4,070.00	$9,125.00	$31,434.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.05 / $766.81 / $1,156.98	Professional		$588.05	$766.81	$1,156.98