Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.13 / $3,707.00 / $9,863.00	Facility		$770.13	$3,707.00	$9,863.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $718.22 / $718.22 / $2,201.17	Facility	50	$718.22	$718.22	$2,201.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $770.13 / $1,320.77	Professional		$625.80	$770.13	$1,320.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $926.88 / $926.88 / $936.26	Professional	50	$926.88	$926.88	$936.26
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 $558.78 / $739.19 / $1,345.72	Professional		$558.78	$739.19	$1,345.72
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $838.17 / $1,108.78 / $2,018.58	Professional	50	$838.17	$1,108.78	$2,018.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $781.26 / $957.80 / $1,289.18	Facility		$781.26	$957.80	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $559.71 / $885.29 / $1,381.05	Professional		$559.71	$885.29	$1,381.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $21,571.00	Facility		$949.77	$1,059.09	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.02 / $867.76 / $1,550.33	Professional		$594.02	$867.76	$1,550.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $4,876.83	Facility		$949.77	$1,059.09	$4,876.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $600.97 / $897.69 / $1,347.73	Professional		$600.97	$897.69	$1,347.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $544.43 / $940.78	Professional		$76.37	$544.43	$940.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,321.00 / $7,351.00	Facility		$2,233.00	$4,321.00	$7,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.84 / $849.88 / $1,652.21	Professional		$646.84	$849.88	$1,652.21