Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.22 / $2,113.00 / $10,268.00	Facility		$511.22	$2,113.00	$10,268.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $353.17 / $525.16 / $1,257.07	Facility	54	$353.17	$525.16	$1,257.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.42 / $509.40 / $921.58	Professional		$431.42	$509.40	$921.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.43 / $513.32 / $865.45	Professional		$383.43	$513.32	$865.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.52 / $552.54 / $733.85	Facility		$430.52	$552.54	$733.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.92 / $699.92 / $127,498.73	Professional		$549.92	$699.92	$127,498.73
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 $483.47 / $674.91 / $961.10	Professional		$483.47	$674.91	$961.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $823.44 / $823.44 / $823.44	Facility		$823.44	$823.44	$823.44
Medical Mutual of Ohio Facility/Professional Facility Modifier 54 Low / Median / High Price $576.41 / $576.41 / $576.41	Facility	54	$576.41	$576.41	$576.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $483.47 / $681.93 / $969.39	Professional		$483.47	$681.93	$969.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.16 / $367.62 / $629.22	Professional		$71.16	$367.62	$629.22
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.83 / $630.20 / $1,028.80	Professional		$416.83	$630.20	$1,028.80