Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.11 / $4,687.00 / $11,581.00	Facility		$730.11	$4,687.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.34 / $718.08 / $1,305.18	Professional		$471.34	$718.08	$1,305.18
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $707.01 / $2,018.04 / $2,092.69	Professional	50	$707.01	$2,018.04	$2,092.69
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 $456.56 / $607.64 / $1,212.54	Professional		$456.56	$607.64	$1,212.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $684.84 / $911.46 / $1,818.81	Professional	50	$684.84	$911.46	$1,818.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $643.57 / $788.99 / $1,289.18	Facility		$643.57	$788.99	$1,289.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $538.13 / $835.76 / $1,303.79	Professional		$538.13	$835.76	$1,303.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $889.07 / $949.77 / $21,571.00	Facility		$889.07	$949.77	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.96 / $754.10 / $1,370.45	Professional		$496.96	$754.10	$1,370.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $949.77 / $1,059.09 / $4,240.84	Facility		$949.77	$1,059.09	$4,240.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $519.79 / $790.62 / $1,214.55	Professional		$519.79	$790.62	$1,214.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $505.96 / $900.51	Professional		$76.13	$505.96	$900.51
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 $618.70 / $780.45 / $1,595.81	Professional		$618.70	$780.45	$1,595.81