Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $2,292.00 / $10,268.00	Facility		$355.90	$2,292.00	$10,268.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $47.09 / $177.95 / $723.14	Facility	52	$47.09	$177.95	$723.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $355.90 / $675.14	Professional		$94.17	$355.90	$675.14
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 $109.97 / $324.63 / $665.40	Professional		$109.97	$324.63	$665.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.97 / $122.36 / $151.44	Facility		$101.97	$122.36	$151.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.84 / $414.59 / $414.59	Professional		$332.84	$414.59	$414.59
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 $122.36 / $414.59 / $806.56	Professional		$122.36	$414.59	$806.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,670.30 / $2,670.30 / $2,670.30	Facility		$2,670.30	$2,670.30	$2,670.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $414.59 / $808.48	Professional		$126.44	$414.59	$808.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.01 / $456.39 / $633.58	Professional		$336.01	$456.39	$633.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,952.00 / $4,132.00	Facility		$1,020.00	$1,952.00	$4,132.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $576.85 / $908.69	Professional		$395.41	$576.85	$908.69