Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $207.74 / $5,135.00	Facility		$50.74	$207.74	$5,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $49.39 / $96.25	Professional		$28.80	$49.39	$96.25
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 $25.16 / $37.29 / $70.98	Professional		$25.16	$37.29	$70.98
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.74 / $56.01 / $106.87	Professional	50	$37.74	$56.01	$106.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.97 / $45.09 / $45.09	Facility		$30.97	$45.09	$45.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.70 / $57.38 / $57.38	Professional		$41.70	$57.38	$57.38
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 $30.69 / $52.16 / $91.14	Professional		$30.69	$52.16	$91.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $82.96 / $97.15 / $206.77	Facility		$82.96	$97.15	$206.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $54.18 / $87.03	Professional		$31.87	$54.18	$87.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.67 / $52.62	Professional		$27.10	$35.67	$52.62
United Facility/Professional Facility Modifier Low / Median / High Price $302.13 / $965.00 / $2,914.00	Facility		$302.13	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $54.86 / $91.77	Professional		$36.44	$54.86	$91.77