Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $1,477.08 / $8,956.00	Facility		$68.70	$1,477.08	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.95 / $122.84 / $208.82	Professional		$41.95	$122.84	$208.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $96.62 / $96.62 / $96.62	Professional	50	$96.62	$96.62	$96.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $100.01 / $184.97	Professional		$48.02	$100.01	$184.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.03 / $150.72 / $277.45	Professional	50	$72.03	$150.72	$277.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $54.03 / $68.22	Facility		$37.10	$54.03	$68.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $131.88 / $204.27	Professional		$115.23	$131.88	$204.27
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 $41.84 / $119.16 / $220.63	Professional		$41.84	$119.16	$220.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $860.67 / $860.67 / $1,029.56	Facility		$860.67	$860.67	$1,029.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $124.33 / $220.63	Professional		$43.66	$124.33	$220.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $148.82 / $203.88	Professional		$112.90	$148.82	$203.88
United Facility/Professional Facility Modifier Low / Median / High Price $296.06 / $796.00 / $3,218.00	Facility		$296.06	$796.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.41 / $155.16 / $223.67	Professional		$107.41	$155.16	$223.67