Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.55 / $4,886.00 / $11,581.00	Facility		$596.55	$4,886.00	$11,581.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,399.00 / $5,399.00 / $5,399.00	Facility	50	$5,399.00	$5,399.00	$5,399.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $584.33 / $1,010.03	Professional		$428.62	$584.33	$1,010.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $996.27 / $1,141.71 / $1,492.96	Professional	50	$996.27	$1,141.71	$1,492.96
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 $452.94 / $573.57 / $1,089.86	Professional		$452.94	$573.57	$1,089.86
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $679.42 / $860.35 / $1,634.81	Professional	50	$679.42	$860.35	$1,634.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $574.46 / $704.27 / $1,289.18	Facility		$574.46	$704.27	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.29 / $684.96 / $1,068.54	Professional		$488.29	$684.96	$1,068.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.66 / $949.77 / $21,571.00	Facility		$794.66	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.57 / $670.49 / $1,158.23	Professional		$443.57	$670.49	$1,158.23
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 $443.57 / $684.96 / $1,065.42	Professional		$443.57	$684.96	$1,065.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $431.59 / $746.24	Professional		$75.13	$431.59	$746.24
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 $521.49 / $652.41 / $1,273.40	Professional		$521.49	$652.41	$1,273.40