Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.39 / $3,983.00 / $9,863.00	Facility		$461.39	$3,983.00	$9,863.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,310.52 / $1,310.52 / $1,310.52	Facility	50	$1,310.52	$1,310.52	$1,310.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $443.67 / $822.04	Professional		$342.74	$443.67	$822.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.18 / $416.51 / $771.08	Professional		$279.18	$416.51	$771.08
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $382.65 / $382.65 / $382.65	Professional		$382.65	$382.65	$382.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $539.69 / $1,289.18	Facility		$440.22	$539.69	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.49 / $529.74 / $826.40	Professional		$337.49	$529.74	$826.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $949.77 / $21,571.00	Facility		$608.16	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.85 / $508.55 / $930.87	Professional		$342.85	$508.55	$930.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $949.77 / $1,059.09	Facility		$949.77	$949.77	$1,059.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $520.39 / $822.03	Professional		$342.99	$520.39	$822.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $313.84 / $559.81	Professional		$36.68	$313.84	$559.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $4,072.00 / $6,522.00	Facility		$1,981.00	$4,072.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $482.94 / $979.73	Professional		$392.40	$482.94	$979.73