Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.41 / $1,773.00 / $7,155.00	Facility		$126.41	$1,773.00	$7,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $122.70 / $229.67	Professional		$64.45	$122.70	$229.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $155.43 / $155.43 / $155.43	Professional	50	$155.43	$155.43	$155.43
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 $53.65 / $73.20 / $125.95	Professional		$53.65	$73.20	$125.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $80.47 / $109.87 / $188.93	Professional	50	$80.47	$109.87	$188.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $85.76 / $113.91	Facility		$66.83	$85.76	$113.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $183.81 / $127,498.73	Professional		$144.41	$183.81	$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 $81.65 / $135.79 / $232.63	Professional		$81.65	$135.79	$232.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $2,142.98 / $2,576.34	Facility		$128.72	$2,142.98	$2,576.34
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $137.85 / $245.97	Professional		$83.62	$137.85	$245.97
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 $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 $109.96 / $174.99 / $249.09	Professional		$109.96	$174.99	$249.09