Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $1,257.54 / $9,496.00	Facility		$92.10	$1,257.54	$9,496.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $116.39 / $228.74	Professional		$54.18	$116.39	$228.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $144.25 / $625.00	Professional	50	$144.25	$144.25	$625.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $2,059.00 / $2,550.00	Facility		$711.00	$2,059.00	$2,550.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $76.62 / $126.18	Professional		$57.59	$76.62	$126.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.39 / $114.93 / $189.56	Professional	50	$86.39	$114.93	$189.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.37 / $69.78 / $92.67	Facility		$54.37	$69.78	$92.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $170.93 / $127,498.73	Professional		$134.30	$170.93	$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 $69.15 / $122.99 / $217.33	Professional		$69.15	$122.99	$217.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $105.08 / $394.84 / $556.49	Facility		$105.08	$394.84	$556.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $122.69 / $220.90	Professional		$69.20	$122.69	$220.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $139.76 / $199.39	Professional		$103.95	$139.76	$199.39
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 $84.68 / $146.24 / $227.61	Professional		$84.68	$146.24	$227.61