Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.27 / $3,999.00 / $10,268.00	Facility		$467.27	$3,999.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.18 / $447.32 / $843.46	Professional		$290.18	$447.32	$843.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $210.57 / $327.39 / $653.02	Professional		$210.57	$327.39	$653.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $315.86 / $489.60 / $979.53	Professional	50	$315.86	$489.60	$979.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $372.22 / $456.33 / $1,289.18	Facility		$372.22	$456.33	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $531.03 / $828.41	Professional		$316.38	$531.03	$828.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $949.77 / $21,571.00	Facility		$513.53	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.31 / $460.62 / $840.38	Professional		$296.31	$460.62	$840.38
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 $300.64 / $460.62 / $794.53	Professional		$300.64	$460.62	$794.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $310.93 / $538.17	Professional		$36.79	$310.93	$538.17
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 $348.43 / $482.88 / $989.69	Professional		$348.43	$482.88	$989.69