Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $1,201.77 / $9,504.00	Facility		$183.24	$1,201.77	$9,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22.56 / $2,299.73 / $2,403.54	Facility	50	$22.56	$2,299.73	$2,403.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $204.81 / $347.60	Professional		$122.39	$204.81	$347.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.60 / $482.71 / $1,486.50	Professional	50	$324.60	$482.71	$1,486.50
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 $97.56 / $161.13 / $304.38	Professional		$97.56	$161.13	$304.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $146.34 / $241.70 / $454.66	Professional	50	$146.34	$241.70	$454.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.14 / $155.18 / $184.38	Facility		$124.14	$155.18	$184.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $238.38 / $414.49	Professional		$201.71	$238.38	$414.49
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 $136.56 / $220.05 / $375.59	Professional		$136.56	$220.05	$375.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $556.72 / $556.72 / $2,756.24	Facility		$556.72	$556.72	$2,756.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $148.97 / $229.22 / $379.80	Professional		$148.97	$229.22	$379.80
Medical Mutual of Ohio Facility/Professional Professional Modifier 50 Low / Median / High Price $178.13 / $178.13 / $178.13	Professional	50	$178.13	$178.13	$178.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $193.40 / $277.47	Professional		$129.44	$193.40	$277.47
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 $172.02 / $243.38 / $398.24	Professional		$172.02	$243.38	$398.24