Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.88 / $1,790.49 / $8,913.00	Facility		$32.88	$1,790.49	$8,913.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $53.26 / $232.04	Professional		$22.19	$53.26	$232.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $60.36 / $60.36 / $60.36	Professional	50	$60.36	$60.36	$60.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $2,012.00 / $3,943.00	Facility		$1,051.00	$2,012.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $81.62 / $143.86	Professional		$32.47	$81.62	$143.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.71 / $122.43 / $215.79	Professional	50	$48.71	$122.43	$215.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $27.73 / $36.83	Facility		$21.60	$27.73	$36.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $48.07 / $127,498.73	Professional		$34.17	$48.07	$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 $27.73 / $43.49 / $290.06	Professional		$27.73	$43.49	$290.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $1,886.81	Facility		$41.84	$41.84	$1,886.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $43.49 / $290.06	Professional		$27.73	$43.49	$290.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $38.81 / $53.53	Professional		$28.67	$38.81	$53.53
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 $29.76 / $55.62 / $325.93	Professional		$29.76	$55.62	$325.93