Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.35 / $610.20 / $8,553.00	Facility		$85.35	$610.20	$8,553.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $86.03 / $171.63	Professional		$53.55	$86.03	$171.63
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $148.88 / $457.57	Professional	50	$130.26	$148.88	$457.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $2,059.00 / $2,412.00	Facility		$937.00	$2,059.00	$2,412.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $71.08 / $114.16	Professional		$53.46	$71.08	$114.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.73 / $106.62 / $171.24	Professional	50	$78.73	$106.62	$171.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $67.87 / $90.15	Facility		$52.89	$67.87	$90.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $125.80 / $127,498.73	Professional		$98.85	$125.80	$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 $66.83 / $105.76 / $170.59	Professional		$66.83	$105.76	$170.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $102.18	Facility		$102.18	$102.18	$102.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $106.93 / $170.73	Professional		$67.31	$106.93	$170.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $106.33 / $150.61	Professional		$81.79	$106.33	$150.61
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 $79.06 / $125.06 / $186.05	Professional		$79.06	$125.06	$186.05