Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.04 / $2,849.00 / $10,268.00	Facility		$195.04	$2,849.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.47 / $195.04 / $356.67	Professional		$125.47	$195.04	$356.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $329.34 / $1,587.00 / $1,587.00	Professional	50	$329.34	$1,587.00	$1,587.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,051.00 / $1,981.00 / $3,943.00	Facility		$1,051.00	$1,981.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.94 / $169.65 / $321.47	Professional		$104.94	$169.65	$321.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $157.41 / $254.25 / $482.21	Professional	50	$157.41	$254.25	$482.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.70 / $152.04 / $237.57	Facility		$126.70	$152.04	$237.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.93 / $213.93 / $379.23	Professional		$213.93	$213.93	$379.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.37 / $234.60 / $387.29	Professional		$139.37	$234.60	$387.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $591.48 / $591.48 / $591.48	Facility		$591.48	$591.48	$591.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $243.10 / $387.29	Professional		$152.05	$243.10	$387.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.86 / $212.55 / $296.47	Professional		$152.86	$212.55	$296.47
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.67 / $264.52 / $425.02	Professional		$184.67	$264.52	$425.02