Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $3,134.90 / $11,581.00	Facility		$41.18	$3,134.90	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $40.20 / $69.26	Professional		$30.04	$40.20	$69.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $37.24 / $73.89	Professional		$26.55	$37.24	$73.89
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.83 / $55.87 / $110.83	Professional	50	$39.83	$55.87	$110.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.12 / $50.42 / $539.45	Facility		$41.12	$50.42	$539.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $47.64 / $74.31	Professional		$34.95	$47.64	$74.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $56.91 / $21,571.00	Facility		$56.91	$56.91	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $47.64 / $97.93	Professional		$32.35	$47.64	$97.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1,532.85 / $1,532.85 / $1,532.85	Facility		$1,532.85	$1,532.85	$1,532.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $49.49 / $79.54	Professional		$33.21	$49.49	$79.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $36.50 / $50.72	Professional		$27.10	$36.50	$50.72
United Facility/Professional Facility Modifier Low / Median / High Price $294.95 / $716.00 / $2,313.00	Facility		$294.95	$716.00	$2,313.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $44.99 / $89.67	Professional		$35.65	$44.99	$89.67