Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $2,040.00 / $10,268.00	Facility		$62.76	$2,040.00	$10,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $364.47 / $364.47 / $364.47	Facility	50	$364.47	$364.47	$364.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $62.76 / $130.88	Professional		$43.23	$62.76	$130.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.43 / $82.44 / $139.29	Professional		$55.43	$82.44	$139.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.74 / $72.70	Facility		$42.66	$54.74	$72.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $93.48 / $127,498.73	Professional		$72.23	$93.48	$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 $54.75 / $83.67 / $141.69	Professional		$54.75	$83.67	$141.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $82.87	Facility		$82.87	$82.87	$82.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $83.03 / $140.51	Professional		$54.75	$83.03	$140.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $72.25 / $101.47	Professional		$54.68	$72.25	$101.47
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,914.00	Facility		$444.00	$965.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $99.30 / $147.09	Professional		$63.94	$99.30	$147.09