Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.30 / $1,902.00 / $6,582.00	Facility		$137.30	$1,902.00	$6,582.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $772.60 / $3,717.00 / $6,385.32	Facility	50	$772.60	$3,717.00	$6,385.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $174.87 / $331.38	Professional		$72.40	$174.87	$331.38
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $205.61 / $205.61 / $205.61	Professional	50	$205.61	$205.61	$205.61
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 $55.48 / $80.01 / $138.84	Professional		$55.48	$80.01	$138.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $83.23 / $120.02 / $208.27	Professional	50	$83.23	$120.02	$208.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.37 / $95.45 / $126.77	Facility		$74.37	$95.45	$126.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $285.04 / $127,498.73	Professional		$223.96	$285.04	$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 $88.36 / $171.64 / $348.04	Professional		$88.36	$171.64	$348.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $2,358.61	Facility		$143.26	$143.26	$2,358.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $91.47 / $174.99 / $361.26	Professional		$91.47	$174.99	$361.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.93 / $207.28 / $297.31	Professional		$154.93	$207.28	$297.31
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 $164.84 / $263.75 / $380.67	Professional		$164.84	$263.75	$380.67