Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $1,494.50 / $7,155.00	Facility		$84.11	$1,494.50	$7,155.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $955.85 / $1,515.94 / $2,310.00	Facility	50	$955.85	$1,515.94	$2,310.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $84.47 / $186.39	Professional		$49.48	$84.47	$186.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $59.98 / $82.34 / $962.99	Professional	50	$59.98	$82.34	$962.99
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 $52.42 / $74.67 / $153.49	Professional		$52.42	$74.67	$153.49
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.63 / $112.58 / $230.24	Professional	50	$78.63	$112.58	$230.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $63.12 / $78.13	Facility		$49.18	$63.12	$78.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $113.68 / $127,498.73	Professional		$87.68	$113.68	$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 $62.76 / $102.82 / $199.94	Professional		$62.76	$102.82	$199.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $94.98 / $784.40 / $1,774.71	Facility		$94.98	$784.40	$1,774.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $101.32 / $203.21	Professional		$62.76	$101.32	$203.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.67 / $101.43	Professional		$53.47	$71.67	$101.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,940.00 / $4,067.00	Facility		$1,020.00	$1,940.00	$4,067.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $122.62 / $198.77	Professional		$72.97	$122.62	$198.77