Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $2,113.00 / $10,268.00	Facility		$192.28	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.31 / $321.82 / $566.04	Professional		$129.31	$321.82	$566.04
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.84 / $210.84 / $210.84	Professional	50	$210.84	$210.84	$210.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.00 / $2,786.00 / $8,800.00	Facility		$1,121.00	$2,786.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $164.10 / $262.31	Professional		$126.23	$164.10	$262.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.34 / $246.15 / $393.47	Professional	50	$189.34	$246.15	$393.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.09 / $165.67 / $205.05	Facility		$129.09	$165.67	$205.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $484.12 / $127,498.73	Professional		$380.38	$484.12	$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 $160.53 / $300.39 / $640.51	Professional		$160.53	$300.39	$640.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $248.99 / $248.99 / $248.99	Facility		$248.99	$248.99	$248.99
Medical Mutual of Ohio Facility/Professional Facility Modifier 52 Low / Median / High Price $199.19 / $199.19 / $199.19	Facility	52	$199.19	$199.19	$199.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $163.11 / $300.39 / $633.59	Professional		$163.11	$300.39	$633.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $325.16 / $498.10	Professional		$32.56	$325.16	$498.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.29 / $509.76 / $728.23	Professional		$326.29	$509.76	$728.23