Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.66 / $3,206.64 / $10,635.00	Facility		$538.66	$3,206.64	$10,635.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,147.23 / $4,776.14 / $10,965.00	Facility	50	$2,147.23	$4,776.14	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.18 / $610.28 / $1,012.06	Professional		$471.18	$610.28	$1,012.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $785.31 / $1,314.84 / $3,170.23	Professional	50	$785.31	$1,314.84	$3,170.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,897.00 / $8,800.00	Facility		$1,152.00	$2,897.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.18 / $619.30 / $1,097.29	Professional		$477.18	$619.30	$1,097.29
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $715.77 / $928.96 / $1,645.93	Professional	50	$715.77	$928.96	$1,645.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.75 / $753.92 / $809.00	Facility		$517.75	$753.92	$809.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $505.42 / $626.76 / $1,111.07	Professional		$505.42	$626.76	$1,111.07
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 $472.39 / $685.26 / $1,165.58	Professional		$472.39	$685.26	$1,165.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,194.68 / $3,256.35 / $3,488.00	Facility		$1,194.68	$3,256.35	$3,488.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $497.63 / $740.71 / $1,150.88	Professional		$497.63	$740.71	$1,150.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $437.22 / $765.51	Professional		$74.17	$437.22	$765.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,551.00 / $5,235.00	Facility		$1,689.00	$2,551.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.72 / $694.48 / $1,096.04	Professional		$499.72	$694.48	$1,096.04