Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $1,967.00 / $9,534.00	Facility		$158.78	$1,967.00	$9,534.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $178.77 / $310.26	Professional		$126.62	$178.77	$310.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $344.63 / $403.28	Professional	50	$324.68	$344.63	$403.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,981.00 / $3,943.00	Facility		$937.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $201.56 / $375.05	Professional		$140.88	$201.56	$375.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $211.32 / $302.33 / $562.58	Professional	50	$211.32	$302.33	$562.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $153.15 / $187.76 / $229.73	Facility		$153.15	$187.76	$229.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $182.25 / $284.31	Professional		$130.18	$182.25	$284.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $165.28 / $21,571.00	Facility		$148.21	$165.28	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $192.48 / $388.91	Professional		$123.70	$192.48	$388.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $148.21 / $148.21 / $165.28	Facility		$148.21	$148.21	$165.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $123.93 / $209.36 / $386.23	Professional		$123.93	$209.36	$386.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.98 / $148.82 / $220.77	Professional		$96.98	$148.82	$220.77
United Facility/Professional Facility Modifier Low / Median / High Price $226.00 / $881.00 / $2,833.00	Facility		$226.00	$881.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $204.15 / $354.54	Professional		$146.47	$204.15	$354.54