Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $3,145.24 / $8,553.00	Facility		$279.26	$3,145.24	$8,553.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,799.48 / $5,995.50 / $6,627.00	Facility	50	$3,799.48	$5,995.50	$6,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $280.58 / $504.89	Professional		$164.90	$280.58	$504.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $305.76 / $736.52 / $2,200.50	Professional	50	$305.76	$736.52	$2,200.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,722.00 / $8,800.00	Facility		$1,145.00	$2,722.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $282.56 / $488.71	Professional		$181.50	$282.56	$488.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $272.25 / $423.84 / $731.06	Professional	50	$272.25	$423.84	$731.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.65 / $189.18 / $295.58	Facility		$157.65	$189.18	$295.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.93 / $274.68 / $462.56	Professional		$260.93	$274.68	$462.56
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 $189.18 / $296.52 / $507.63	Professional		$189.18	$296.52	$507.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2,144.21 / $2,144.21 / $2,144.21	Facility		$2,144.21	$2,144.21	$2,144.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $195.44 / $306.00 / $512.55	Professional		$195.44	$306.00	$512.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $228.49 / $310.54 / $419.30	Professional		$228.49	$310.54	$419.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $2,665.00 / $5,268.00	Facility		$1,689.00	$2,665.00	$5,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.77 / $320.01 / $529.62	Professional		$238.77	$320.01	$529.62