Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.37 / $2,785.00 / $9,504.00	Facility		$266.37	$2,785.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,677.23 / $3,600.75 / $4,418.00	Facility	50	$1,677.23	$3,600.75	$4,418.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $163.66 / $297.24	Professional		$148.08	$163.66	$297.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.84 / $139.87 / $170.04	Professional	50	$76.84	$139.87	$170.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $2,894.00 / $8,800.00	Facility		$1,152.00	$2,894.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $195.71 / $334.48	Professional		$137.88	$195.71	$334.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $206.82 / $293.56 / $490.54	Professional	50	$206.82	$293.56	$490.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $180.24 / $239.39	Facility		$150.19	$180.24	$239.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $194.69 / $292.89	Professional		$165.22	$194.69	$292.89
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 $162.13 / $232.81 / $329.17	Professional		$162.13	$232.81	$329.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $461.75 / $763.42 / $4,544.00	Facility		$461.75	$763.42	$4,544.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $165.22 / $232.81 / $329.66	Professional		$165.22	$232.81	$329.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $197.08 / $264.50	Professional		$146.80	$197.08	$264.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,383.00 / $6,522.00	Facility		$2,233.00	$4,383.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.71 / $202.77 / $344.48	Professional		$141.71	$202.77	$344.48