Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.75 / $2,936.00 / $9,534.00	Facility		$577.75	$2,936.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.39 / $577.75 / $990.84	Professional		$430.39	$577.75	$990.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
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 $382.09 / $539.88 / $998.51	Professional		$382.09	$539.88	$998.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $573.13 / $809.18 / $1,497.76	Professional	50	$573.13	$809.18	$1,497.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.20 / $676.98 / $1,289.18	Facility		$552.20	$676.98	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.37 / $663.20 / $1,034.59	Professional		$469.37	$663.20	$1,034.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $949.77 / $21,571.00	Facility		$763.20	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.39 / $643.02 / $1,117.58	Professional		$428.39	$643.02	$1,117.58
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 $427.48 / $663.20 / $976.97	Professional		$427.48	$663.20	$976.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $408.04 / $719.45	Professional		$75.13	$408.04	$719.45
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 $493.98 / $611.69 / $1,279.46	Professional		$493.98	$611.69	$1,279.46