Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $951.00 / $9,504.00	Facility		$21.26	$951.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $21.26 / $38.88	Professional		$14.71	$21.26	$38.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $24.42 / $42.62	Professional		$14.73	$24.42	$42.62
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $22.09 / $36.64 / $63.94	Professional	50	$22.09	$36.64	$63.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $23.54 / $23.54	Facility		$16.14	$23.54	$23.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $24.88 / $24.88	Professional		$18.39	$24.88	$24.88
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 $15.52 / $24.82 / $44.45	Professional		$15.52	$24.82	$44.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $220.38 / $220.38 / $313.87	Facility		$220.38	$220.38	$313.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.12 / $26.08 / $40.68	Professional		$16.12	$26.08	$40.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $9.90 / $14.27	Professional		$8.41	$9.90	$14.27
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $30.54 / $52.79	Professional		$22.52	$30.54	$52.79