Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $1,902.00 / $9,504.00	Facility		$95.72	$1,902.00	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,192.39 / $3,863.40 / $4,026.94	Facility	50	$3,192.39	$3,863.40	$4,026.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.30 / $97.15 / $227.89	Professional		$48.30	$97.15	$227.89
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $174.53 / $204.82 / $737.28	Professional	50	$174.53	$204.82	$737.28
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 $63.11 / $85.42 / $145.21	Professional		$63.11	$85.42	$145.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $94.66 / $128.13 / $217.82	Professional	50	$94.66	$128.13	$217.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $61.57 / $81.78	Facility		$47.97	$61.57	$81.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $139.90 / $127,498.73	Professional		$109.92	$139.90	$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 $61.57 / $124.91 / $209.74	Professional		$61.57	$124.91	$209.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $124.91 / $216.77	Professional		$61.57	$124.91	$216.77
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 $92.10 / $147.60 / $223.24	Professional		$92.10	$147.60	$223.24