Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.38 / $907.10 / $4,642.34	Facility		$73.38	$907.10	$4,642.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $939.76 / $2,560.60 / $3,745.20	Facility	50	$939.76	$2,560.60	$3,745.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $79.80 / $170.92	Professional		$48.93	$79.80	$170.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $129.36 / $179.21 / $621.58	Professional	50	$129.36	$179.21	$621.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,927.00 / $3,943.00	Facility		$814.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.19 / $66.56 / $112.64	Professional		$48.19	$66.56	$112.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $72.28 / $100.28 / $168.96	Professional	50	$72.28	$100.28	$168.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $60.52 / $75.65	Facility		$50.43	$60.52	$75.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $91.61 / $145.16	Professional		$70.47	$91.61	$145.16
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 $59.90 / $93.97 / $165.03	Professional		$59.90	$93.97	$165.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $296.51 / $665.99 / $899.56	Facility		$296.51	$665.99	$899.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $92.68 / $165.93	Professional		$60.01	$92.68	$165.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.09 / $101.43	Professional		$53.47	$71.09	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $979.00 / $3,398.00	Facility		$480.00	$979.00	$3,398.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $101.10 / $157.88	Professional		$63.50	$101.10	$157.88