Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.68 / $1,773.00 / $8,553.00	Facility		$87.68	$1,773.00	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $91.06 / $174.20	Professional		$51.58	$91.06	$174.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.15 / $144.15 / $144.15	Professional	50	$144.15	$144.15	$144.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $66.03 / $112.66	Professional		$49.27	$66.03	$112.66
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.90 / $99.14 / $168.99	Professional	50	$73.90	$99.14	$168.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $65.84 / $82.36	Facility		$51.84	$65.84	$82.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $99.56 / $126.71	Professional		$81.15	$99.56	$126.71
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 $65.98 / $106.83 / $206.07	Professional		$65.98	$106.83	$206.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $1,431.54 / $1,499.84	Facility		$100.02	$1,431.54	$1,499.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $107.71 / $206.55	Professional		$65.48	$107.71	$206.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.30 / $150.61	Professional		$81.79	$106.30	$150.61
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 $85.37 / $134.60 / $226.36	Professional		$85.37	$134.60	$226.36