Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.58 / $2,040.00 / $7,155.00	Facility		$174.58	$2,040.00	$7,155.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,252.46 / $3,502.22 / $8,599.58	Facility	50	$1,252.46	$3,502.22	$8,599.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $203.01 / $411.85	Professional		$105.50	$203.01	$411.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $320.24 / $386.57 / $1,212.03	Professional	50	$320.24	$386.57	$1,212.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $1,981.00 / $3,943.00	Facility		$814.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.02 / $139.91 / $252.04	Professional		$92.02	$139.91	$252.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $138.03 / $210.10 / $378.06	Professional	50	$138.03	$210.10	$378.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $135.84 / $180.42	Facility		$105.84	$135.84	$180.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $316.48 / $127,498.73	Professional		$248.67	$316.48	$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 $132.44 / $246.17 / $399.94	Professional		$132.44	$246.17	$399.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $729.07 / $2,597.71	Facility		$203.89	$729.07	$2,597.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $134.71 / $248.67 / $411.59	Professional		$134.71	$248.67	$411.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.67 / $194.07 / $304.60	Professional		$30.67	$194.07	$304.60
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 $165.70 / $287.20 / $518.82	Professional		$165.70	$287.20	$518.82