Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $2,451.00 / $9,516.00	Facility		$147.41	$2,451.00	$9,516.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,090.41 / $5,090.41 / $5,090.41	Facility	50	$5,090.41	$5,090.41	$5,090.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $211.74 / $447.99	Professional		$76.29	$211.74	$447.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $90.72 / $166.58	Professional		$60.83	$90.72	$166.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $114.51 / $122.87	Facility		$78.64	$114.51	$122.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.11 / $337.63 / $526.70	Professional		$297.11	$337.63	$526.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $21,571.00	Facility		$138.81	$138.81	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $207.53 / $507.27	Professional		$86.73	$207.53	$507.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $299.93	Facility		$138.81	$138.81	$299.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $88.65 / $178.23 / $486.18	Professional		$88.65	$178.23	$486.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $328.69 / $457.92	Professional		$247.45	$328.69	$457.92
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $1,009.00 / $3,218.00	Facility		$444.00	$1,009.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $349.47 / $721.93	Professional		$256.45	$349.47	$721.93