Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $9,549.93	Facility		$34.67	$1,949.84	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $426.58	Professional		$23.99	$60.26	$426.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $407.38 / $2,454.71	Professional	50	$208.93	$407.38	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $89.13 / $154.88	Professional		$32.36	$89.13	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.98 / $134.90 / $229.09	Professional	50	$48.98	$134.90	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $27.54	Facility		$23.44	$23.44	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $295.12	Professional		$27.54	$45.71	$295.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $21,379.62	Facility		$1,905.46	$1,905.46	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $295.12	Professional		$26.30	$43.65	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,096.48	Facility		$100.00	$100.00	$1,096.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $77.62	Professional		$22.39	$35.48	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,073.80	Facility		$954.99	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $229.09	Professional		$22.39	$44.67	$229.09