Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.38 / $3,398.00 / $9,504.00	Facility		$409.38	$3,398.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,109.23 / $3,147.33 / $7,026.00	Facility	50	$2,109.23	$3,147.33	$7,026.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.68 / $421.56 / $725.03	Professional		$239.68	$421.56	$725.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.07 / $312.14 / $603.65	Professional	50	$99.07	$312.14	$603.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.00 / $5,211.00 / $29,406.00	Facility		$1,895.00	$5,211.00	$29,406.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.97 / $365.38 / $657.43	Professional		$242.97	$365.38	$657.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $364.45 / $548.07 / $986.14	Professional	50	$364.45	$548.07	$986.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.22 / $275.06 / $365.33	Facility		$229.22	$275.06	$365.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.45 / $441.45 / $782.58	Professional		$441.45	$441.45	$782.58
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 $251.32 / $417.24 / $731.57	Professional		$251.32	$417.24	$731.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1,368.05 / $2,272.00	Facility		$0.60	$1,368.05	$2,272.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $275.07 / $428.46 / $765.38	Professional		$275.07	$428.46	$765.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $373.24 / $506.96 / $677.40	Professional		$373.24	$506.96	$677.40
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 $264.25 / $441.08 / $898.22	Professional		$264.25	$441.08	$898.22