Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.04 / $2,197.13 / $7,992.64	Facility		$373.04	$2,197.13	$7,992.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,854.20 / $4,854.20 / $21,497.88	Facility	50	$4,854.20	$4,854.20	$21,497.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $325.91 / $596.41	Professional		$250.87	$325.91	$596.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,405.00 / $14,996.00	Facility		$1,760.00	$3,405.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $288.33 / $526.92	Professional		$186.38	$288.33	$526.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.17 / $290.60 / $454.07	Facility		$242.17	$290.60	$454.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $343.86 / $343.86 / $609.57	Professional		$343.86	$343.86	$609.57
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 $254.78 / $379.36 / $613.71	Professional		$254.78	$379.36	$613.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3,135.98 / $3,135.98 / $4,391.33	Facility		$3,135.98	$3,135.98	$4,391.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $256.89 / $388.46 / $614.44	Professional		$256.89	$388.46	$614.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $317.74 / $464.61	Professional		$36.24	$317.74	$464.61
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 $290.41 / $398.32 / $680.61	Professional		$290.41	$398.32	$680.61