Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.06 / $2,113.00 / $10,268.00	Facility		$68.06	$2,113.00	$10,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $980.61 / $981.64 / $2,583.50	Facility	50	$980.61	$981.64	$2,583.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.84 / $72.91 / $197.15	Professional		$39.84	$72.91	$197.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $64.06 / $646.98 / $646.98	Professional	50	$64.06	$646.98	$646.98
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 $59.04 / $82.81 / $135.97	Professional		$59.04	$82.81	$135.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.56 / $124.21 / $203.95	Professional	50	$88.56	$124.21	$203.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $51.25 / $68.06	Facility		$39.93	$51.25	$68.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.66 / $103.94 / $127,498.73	Professional		$81.66	$103.94	$127,498.73
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 $51.25 / $96.51 / $174.09	Professional		$51.25	$96.51	$174.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $754.64	Facility		$76.73	$76.73	$754.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $95.77 / $177.57	Professional		$51.25	$95.77	$177.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $104.97 / $150.61	Professional		$79.45	$104.97	$150.61
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.86 / $111.51 / $180.99	Professional		$61.86	$111.51	$180.99