Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.20 / $651.61 / $8,956.00	Facility		$127.20	$651.61	$8,956.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $339.22 / $339.22 / $1,732.03	Facility	50	$339.22	$339.22	$1,732.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $187.41 / $405.12	Professional		$76.87	$187.41	$405.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $110.79 / $473.83	Professional	50	$55.99	$110.79	$473.83
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 $65.53 / $91.59 / $162.69	Professional		$65.53	$91.59	$162.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $98.30 / $137.38 / $235.76	Professional	50	$98.30	$137.38	$235.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $88.63 / $138.50	Facility		$73.86	$88.63	$138.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $240.09 / $240.09 / $425.61	Professional		$240.09	$240.09	$425.61
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 $88.64 / $220.44 / $386.39	Professional		$88.64	$220.44	$386.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $265.37 / $318.16 / $507.92	Facility		$265.37	$318.16	$507.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $224.95 / $405.00	Professional		$91.59	$224.95	$405.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $269.27 / $366.93	Professional		$198.24	$269.27	$366.93
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,017.00 / $3,398.00	Facility		$480.00	$1,017.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.86 / $257.64 / $471.97	Professional		$161.86	$257.64	$471.97