Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.52 / $4,197.00 / $10,817.74	Facility		$1,522.52	$4,197.00	$10,817.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.67 / $1,023.89 / $1,942.31	Professional		$817.67	$1,023.89	$1,942.31
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,158.44 / $2,158.44 / $2,158.44	Professional	50	$2,158.44	$2,158.44	$2,158.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,967.00 / $14,996.00	Facility		$1,760.00	$3,967.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.64 / $942.38 / $1,648.89	Professional		$684.64	$942.38	$1,648.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,026.96 / $1,413.58 / $2,473.33	Professional	50	$1,026.96	$1,413.58	$2,473.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,215.97 / $1,490.73 / $1,994.14	Facility		$1,215.97	$1,490.73	$1,994.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $1,169.20 / $1,823.96	Professional		$814.95	$1,169.20	$1,823.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,153.51 / $1,469.12 / $21,571.00	Facility		$1,153.51	$1,469.12	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.82 / $1,248.23 / $2,022.43	Professional		$855.82	$1,248.23	$2,022.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,469.12 / $1,469.12 / $1,638.24	Facility		$1,469.12	$1,469.12	$1,638.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $814.97 / $1,275.60 / $1,827.74	Professional		$814.97	$1,275.60	$1,827.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $746.16 / $1,254.35	Professional		$112.96	$746.16	$1,254.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $5,513.00 / $7,853.00	Facility		$2,155.00	$5,513.00	$7,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.66 / $1,020.15 / $2,091.12	Professional		$804.66	$1,020.15	$2,091.12